Laserfiche WebLink
I <br /> Argon Laboratories Sample Receipt Checklist <br />' Client Name Ground Zero Analysis Date&Time Received 11/1012004 1225 <br /> Project Name Tuleburg Warehouse Client Protect Number 263 <br />' Received By P H Matrix Water 0 Soil ❑ <br /> Sample Carrier Client ❑ Laboratory [] Fed Ex ❑ UPS ❑ Other ❑ <br /> IArgon Labs Protect Number E11231 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br />' NIA Yes 0 No ❑ Samples received intact? Yes 0 No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests Yes [] No ❑ <br />' Chain of custody present9 Yes 0 No ❑ Samples received within holding time? Yes 0 No ❑ <br /> Cham of Custody signed by all parties? Yes 0 No ❑ Do samples contain proper preservative? <br />' NIA ❑ Yes [] No ❑ <br /> Chain of Custody matches all sample labels? Do V0A vials contain zero headspaee? <br /> Yes 0 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 /> I <br />' Action Taken <br /> I <br />' ----`— -- -- ADDITIONAL TESTS?REQUEST lOTHER _---`---�--- <br /> Contacted By Date Time <br /> ICall Received By <br /> Comments <br />