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1 <br /> I <br /> 1 <br /> I <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: RMC Geoscience Date&Time Received: 09/22/10 15:30 <br /> Project Name: Shadow take Park Client Project Number: <br /> r <br /> Received By: AH Matrix: Water Soil ❑ Sludge ❑ <br /> Sample Carrier: Client ❑ Laboratory 0 Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: K009045 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> N/A Yes ❑ No ❑ Samples received intact? Yes [] No ❑ <br /> Samples received under refrigeration? Yes No. ❑ Sufficient sample volume for requested tests?Yes No ❑ F <br /> i <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes No ❑ <br /> Chain of Custody signed by all parties? Yes [] No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes 0 No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes ❑Q No ❑ (None submitted Q} Yes ❑ No ❑ <br /> —4----ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> DateClient Contacted: Person Contacted: <br /> Contacted By: Subject: <br /> Comments: <br /> Action Taken., <br /> ADDITIONAL TEST(S)REQUEST 1 OTHER <br /> Contacted By: Date: <br /> Time: <br /> Call Received By: <br /> Comments: <br />