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i <br /> i <br /> i <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: Advanced Chemical Transport Date&Time Received: 12/02/15 15:18 <br /> Project Name: SST Metals Client Project Number: <br /> Received By: MC Matrix: Water ❑ Soil 21 Sludge ❑ <br /> Sample Carrier: Client 21 Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: R512002/1512020004 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ❑ No ❑ <br /> N/A Yes 0 No ❑ Samples received intact? Yes No ❑ <br /> Samples received under refrigeration? Yes ❑� No ❑ Sufficient sample volume for requested tests?Yes Q 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 F-11 No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes ❑r No ❑ (None submitted F/�) 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 /> i <br /> i <br /> i <br /> Action Taken: <br /> i <br /> i <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By: Date: Time: <br /> f <br /> Call Received By: y <br /> Comments: €� <br /> L ) <br /> s a1 <br /> LLJ <br /> tF � <br /> i <br />