Laserfiche WebLink
Argon Laboratories Sample Receipt Checklist <br /> Client Name: Geo-Phase Environmental Date&Time Received: 06/02/11 16:12 <br /> ' Project Name: Sola Client Project Number: 639.2 <br /> Received By: IC Matrix: Water ❑ Soil E Sludge ❑ <br /> ' Sample Carrier: Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: L106008 <br /> Shipper Container in good condition? Samples received in proper containers? Yes Q No ❑ <br /> N(A Yes F±] No ❑ Samples received intact? Yes No ❑ <br /> Samples received under refrigeration? Yes E] No ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> ' Chain of custody present? Yes ❑ No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> ' N/A ❑ Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? 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 /> ' Date Client Contacted: Person Contacted: <br /> Contacted By: Subject: <br /> ' Comments: <br /> ' Action Taken: <br /> ADDITIONAL TESTS REQUEST!OTHER <br /> ------ ------------------------------------- <br /> ' Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> r <br />