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i Amon Laboratoripc Gam <br />le Receipt Checklist <br />Client Name A77-'- '45S�C %cr fes Date & Time Received 07/ / fo1 O / 6 9p <br />Protect Name iPPi6CS�,�or�n�r Ez -'r-J06`/46Client Protect Number 3-4 S8 <br />Received 9y Matrix <br />Water)/ Soil 1 <br />Sample Camer Client 1 aborato 1 FedEx 1 UPS 1 <br />Argon Labs Project Number ao 3 S t <br />Shipping Container 1 Cooler in good condition? <br />NIA Yes No <br />Samples received under refngerabon? <br />Yes No <br />Chain of Custody Present? Yes No <br />Chain of Custody signed by all parties? <br />Yes f No <br />Cham of Custody snatches all sample labels? <br />Yes / No <br />Date Client Contacted <br />Contacted by <br />Comments <br />IAction Taken <br />Samples received in proper contaArs? Yes No <br />Samples received intact? YesNo <br />Sufficient sample volume for requested tests? / <br />Yes// o <br />Samples received within holding time? Yes ✓ No <br />Do samples contain proper preservative? <br />NIA Yes No <br />Do VOA vials contain zero headspace? <br />(None submitted ) Yes '11 No <br />- - _ - <br />ANY "No" RESPONSE MUST SE DETAILED IN THE COMMENTS SECTION BELOW <br />Person Contacted <br />Subject <br />' Date Client Contacted Person Contacted <br />Comments <br />