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Argon Laboratories Sample Receipt Checklist <br /> Client Name: l Date&Time Received: / <br /> e <br /> Project Name: Client PPojecl Number: <br /> Received By: Matrix: Water ❑ Soil Other <br /> Sample Carrier: Client Lam' Laborato ❑ Fed Ex ❑ UPS ❑ Other F-1Argon Labs Project Number: <br /> Shipper Container in good condition? Sufficient sample volume for requested tests?Yes LJ No 011'NIA g2 Yes El No El Samples received within holding time? Yes V. <br /> No <br /> Samples received under refrigeration? Yes No ❑ Do samples contain proper preservative? <br /> N/A l/ Yes ❑ No ❑ <br /> Chain of custody present? Yes No ❑ VOA vials with preservative? <br /> NIA Yes ❑ No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ VOA vials preservative type: <br /> HCL ❑ Na2S203 [] Other <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes (� No El Yes ❑ No ❑ <br /> Samples received in proper containers?Yes [y' No ❑ Samples received intact? Yes L'S 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 TEST(S)REQUEST I OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> v.5.O2 <br />