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0 <br /> s <br /> Ar on Laboratories Sample Receipt Checklist <br /> Client Name �_ ` _ Date&Time Received <br /> Project Name ame Client Project Number L <br /> Received By Matnx Water Sod ❑ Other <br /> Sample Carver Chent ❑ Laboratory Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Protect Number �� <br /> Shipper Container in good condrtio0 Sufficient sample volume for requested tests?Yes No ❑ <br /> NIA ❑ Yes No ❑ Samples received within holdmg time? Yes [� No ❑ <br /> Samples received under refrigeration? Yes No ❑ Do samples contain proper preservative) <br /> N/A El Yes � No ❑ <br /> Chain of custody present? Yes No ❑ VOA vials with preservative? <br /> NIA E] Yes 15� No ElChain of Custody signed by all parties Yes � No E] VOA vials preservative type <br /> HCL )A Na2S203 ❑ Other <br /> . Chain of Custody matches all sample labels? Do VOA vials contain zero headspace7 <br /> Yes No ❑ NIA ❑ Yes No ❑, <br /> Samples received in proper containers? Yes No ❑ Samples received intact? 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 />