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Cal Aq & Enviro Lab Sample Receipt Checklist <br /> Client Name: Cardno ATC Date&Time Received: 04/10/15 17:00 <br /> Project Name: C&R International Client Project Number: Z054000010 <br /> Received By: DP Matrix: Water ❑ Soil E Sludge ❑ <br /> Sample Carrier: Client Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: R504010/1504100012 <br /> Shipper Container in good condition? Samples received in proper containers? Yes Q No ❑ <br /> NIA_ Yes ❑� No ❑ Samples received intact? Yes No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes Q No ❑ <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes No ❑ <br /> Chain of Custody signed by all parties? Yes Q No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes Q No ❑ (None submitted Yes ❑ No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Contacted: <br /> Contacted By: Subject: <br /> Comments: <br /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By: Dale: Time: <br /> Call Received By: <br /> Comments: <br /> r A <br />