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Amon Laboratories Sam le Receipt Checklist <br /> iClient Name -A Date&Time Received %6 ! 3C ! e /to SIC <br /> Protect Name R S E -E v& Client Protect Number Q S Q-7 �3S1C1 <br /> Received By Matrix ate I Soil ! <br /> Sample Camer Client 1 ra o FedEx I UPS I <br /> ' Argon Labs Protect Number <br /> Shipping Container I Cooler in good condtion? Samples received in proper containers? Yes Y- No <br /> i4 <br /> N/A—X-_Yes No Samples received intact? Yes x No <br /> Samples received under refngerabon? Sufficient sample volume for requested tests? <br /> Yes X No Yeses_ No <br /> iChain of Custody Present? Yes >'-' No Samples received vAthin holding time? Yeses No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> ' Yes.__y No NIA Yes [ No <br /> Chain of Custody matches all sample labels'? Do VOA vials contain zero headspace? <br /> iYes 'X No (None submitted}Yes X No <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Contacted <br /> iContacted by Subject <br /> Comments <br /> i. <br /> Action Taken <br /> 1 <br /> 1� E <br /> OTHER <br /> iDate Client Contacted Person Contacted <br /> Comments <br /> i <br /> i <br /> € <br /> E <br />