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OCT-19-2012 07:55A FROM:GEOPHRSE ENV 2095690295 4683433 P.4 <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: Cleo-Phase Environmental Date&Time Received: 10/02112 13:50 <br /> Project Name: Sola Client Project Number: 660.2 <br /> Received BY. I.C. Matrix: Water F±1 Soil ❑ Sludge ❑ <br /> Sample Carrier. Client 0 Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: M210002 <br /> Shipper Container in good oondelon? Samples received In proper containers? Yea Q No ❑ <br /> NIA— Yea Q No ❑ Samples received intact? Yes No ❑ <br /> Samples received under refngeratlon? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes Q No ❑ <br /> Chain of custody present? Yes ❑' No ❑ Samples received wllhin holding 9rne7 Yes 0 No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples oontaln proper p eserwasve? <br /> WA ❑ Yes ❑' No ❑ <br /> Chaln of Custody matches all sample labels? Do VOA Nab oontah zero headspece? <br /> Yea Q No ❑ (None subrrilled ❑) Yes Q No ❑ <br /> ANY*Ne RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Contacted: <br /> Contacted By: Subject: <br /> Comments: <br /> Acton Taken: <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By: Date: Time: <br /> Cal Received By: <br /> Comments: <br /> r <br />