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ea " iii 1 <br /> Amon Laboratories Sample Receipt Checklist <br /> • Cheat Marne ?r -.�_( t o Date&Time Received GL_1 t 3 1 O Z D5 tom', <br /> Project Name V JCClient Project Number. <br /> Received By C,ct Matrix K—VateD Soil 1 <br /> Sample Camer Client 1 Laboratory 1 FedEx 1 UPS I <br /> Argon Labs Project Number C OC1 10 f <br /> Shipping Container 1 Cooler in good condition? Samples received in proper containers? Yes ✓No <br /> NIA Yes ✓ No Samples received intact? Yes 11-."No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes ✓ No Yes ✓No <br /> Chain of Custody Present? Yes No Samples received within holding time? Yes—ZNo <br /> Cham of Custody signed by all partes? Do samples contain proper preservative? <br /> Yes +✓No NIA Yes ✓No <br /> Chain of Custody matches ali sample Labels? Do VOA vials contain zero headspace? <br /> Yes -✓ No (None submitted`)Yes L,-/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 /> Acton Taken <br /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br />