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8r-qon Laboratories Sam ie Recei t Che <br /> cklist <br /> Client Name u S) Date&Time Received -ft-L11 1 a-3 !r (=C:> <br /> • Project Name u u izb d L5E Client Project Number e:l$'— <br /> Rece)ved By !!S - MatrixWater Sod / <br /> Sample CamerClient / aborato 1 FedEx 1 UPS 1 <br /> Argon Labs Project Number -D0'3 7-b } <br /> Shipping Container/Cooler in good condition? Samples received in proper containets? Yes No <br /> NlA ✓Yes No Samples received intact? Yes ✓ No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes ✓ No Yes -'-No <br /> Cham of Custody present? Yes ' "No Samples received within holding time? Yes ✓ No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes '� No NIA Yes L,-'N(, <br /> Chain of Custody matches all sample la s? Do VOA vials contain zero headspace? / <br /> Yes 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 /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br />