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Ar on Laboratories Sample Receipt Checklist <br /> Client Name A-TL Date&Time Received z 1 z& 14J-3 /-S0 <br /> Protect Name VAtS 5e.-va Client Project Number <br /> Received By' ?I ""? MatnxWater Soil 1 <br /> ' Sample Carrier Client 1 orato 1 FedEx 1 UPS 1 <br /> Argon Labs Project Number D Z V31 <br /> Shipping Container I Cooler in good condition? Samples received in proper containers? Yes No <br /> ' NIA_Z Yes IVa Samples received intact? Yes }` No <br /> Samples received under refngerabon? Sufficient sample volume for requested tests? <br /> Yes, No Yes> I No <br /> ' Chain of Custody Present? Yes _ No Samples received within holding time? Yes-;x— No <br /> Chain of Custody signed by all Parbes7 <br /> Do samples contain proper preservative? <br /> yes-�c No NIA Yes_ No <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No (None submitted)Yeses_ No <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Ciient Contacted Person Contacted <br /> ' Contacted by Subject <br /> Comments <br /> Action Taken <br /> I { i <br /> OTHER <br /> Date Client Contacted Person Contacted <br /> ' Comments <br /> I <br /> i <br /> I <br /> t I <br /> I { � <br /> 4 E ill II ki f I I IIIc IV <br /> I I I �� v �I I• I� �I EI J n <br />