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U U � <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name L6110109jCate&Time Received J-1-,5r� ! <br /> Project Name pa-r Client Protect Number ,-a20-3� <br /> Rece veo By _ Matrix Water Ud So€I ❑ Other <br /> Sample Carner Client Y Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs project Number <br /> SNpper Container in good condition? Sufficient sample volume for requested tests? Yes No ❑ <br /> NSA Q` Yes ❑ No ❑ Samples received within holding time? Yes No ❑ <br /> Samples received under refrigeration? Yes Q No ❑ Do samples contain proper preservative? — <br /> NIA [:1 Yes Ltd' No ❑ <br /> Cna,n of custody present? Yes 12/ No 11 VOA vials with preservalive? / <br /> NIA E] Yes No F7Chain of Custody signed by all parties? Yes IR/ No C:1VOA vials preservat€ve pe <br /> HCL Na2S207 ❑ Other <br /> Cnaln of Custody matches all sample labels? Co VOA vials contain zero headspace? <br /> Yes E/ No ❑ NIA ❑ Yes No ❑ <br /> Samples received in proper containers? Yes �/ No ❑ Samples received€nlact? Yes No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Chent Contacted Person Contacted <br /> Contacted By Subject <br /> Comments <br /> Acllon Taken <br />