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Ar on Laboratories Sample Receipt Checklist <br /> . Client Name 3x>c��e-- -r ��F t,J�� Lis Date&Time Received z 1 z3 1 I r 1? <br /> Protect Name ..s L Client Project Number (a�af <br /> Received By Matrix Water r <br /> I� Soil ❑ Other <br /> Sample Carrier Client1Q~ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number -ES I Z 0-+2- <br /> Shipper <br /> 'x-2Shipper Container in good contlJionT Sufficient sample volume for requested tests?Yes ❑r No ❑ <br /> NIA ❑ Yes E�� No ❑ Samples received withm molding time? Yes [ No ❑ <br /> Samples received under refrigerationl' Yes No ❑ Do samples contain proper preservative? <br /> NIA El Yes No ❑ <br /> Chain of custody present? Yes No ❑ VOA vials with preservative? <br /> NIA ❑ Yes [ No [] <br /> Chain of Custody signed by all parties? Yes No ❑ VOA vials preservative type <br /> HCL Ejj�zS203 [] Other <br /> Cham of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ N/A ❑ Yes ❑ No ❑ <br /> Samples received in proper containers? Yes 01 No ❑ Samples received intact? Yes No ❑ <br /> _- <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 /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By Date <br /> Time <br /> Call Received By <br /> Comments <br /> v502 <br />