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Argon Laboratories Sample Receipt Checklist <br /> • Client Name Date&Time Received. 3 1 l / U Z 15 S a <br /> Project Name - Client Project Number Aq <br /> Received By Matrix Water Soil l <br /> Sample Camer (Clie / Laboratary 1 FedEx / UPS 1 <br /> Argon Labs Project Number 0,T)3 <br /> Shipping Container 1 Cooler in good condition? Yes ✓ No N/A <br /> Samples received under refrigeration? Yes No <br /> Chain of Custody Present? Yes ✓ No <br /> Chain of Custody signed by all parties? YesNo <br /> Chain of Custody matches all sample labels? Yes No <br /> Samples received in proper containers? Yes No <br /> Samples received intact? Yes? No <br /> Sufficient sample volume for requested tests? Yes No <br /> Samples received within holding time? Yes No <br /> Do samples contain proper preservative? Yesy No N/A <br /> Do VOA vials contain zero headspace? Yes No (None submitted, <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 /> I <br />