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Ar on Laboratories Sample Receipt Checklist <br /> Client Name: ,G�'A~ G� <br /> Date&Time Received: l l 30 1_ 0,? 15- 0`]` <br /> Project Name: 05A ` <br /> Client Project Number. 8 <br /> 4 <br /> Received By: &= Matrix: Water / Soil 1 cxz <br /> Sample Carrier: Client /6aboratQ FedEx 1 UPS 1 <br /> Argon labs Project Number. <br /> Shipping Container 1 Coder in good condition? Samples received in proper containers? Yesy No <br /> NIA Yes No Samples received intact? Yes 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 ✓ No <br /> Chain of Custody signed by all parties?? Da samples contain proper preservative? <br /> Yes V No N/A Yes - No <br /> Chain of Custody matches all samplei�beis? 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 /> �. . . .,._. . . ,._.. . . . . . _. . . ..._ . . <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 />