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Date Client Contacted: Person Contacted: <br />Contacted By: Subject: <br />Comments: <br />Action Taken: <br />Contacted By: _ <br />Call Received By: <br />Comments: <br />11 <br />ADDITIONAL TEST(S) REQUEST 1 OTHER <br />Date: Time: <br />v.5.02 <br />Argon Laboratories Sample Receipt Checklist <br />Client Name: <br />r <br />Date & Time Received: / <br />Project Name: <br />Received By: <br />Client Project Number: <br />_ Matrix: <br />Water ❑ Soil Other <br />Sample Carrier: Client Q/Laborato ❑ <br />Fed Ex <br />❑ UPS ❑ Other ❑ <br />Argon Labs Project Number: <br />Shipper Container in good condition? <br />Sufficient sample volume for requested tests? Yes No <br />❑ <br />NIA [2/ Yes El No <br />❑ <br />Samples received within holding time? Yes No <br />❑ <br />Samples received under refrigeration? Yes No <br />❑ <br />Do samples contain proper preservative? <br />N/A V Yes ❑ No <br />❑ <br />Chain of custody present? Yes No <br />❑ <br />VOA vials with preservative? <br />N/A &JX Yes <br />El No <br />❑ <br />Chain of Custody signed by all parties? Yes No <br />F]VOA <br />vials preservative type: <br />HCL ❑ Na2S203 ❑ Other <br />Chain of Custody matches all sample labels? <br />El <br />Do VOA vials contain zero headspace? <br />Yes Ill' No <br />Samples in Yes No <br />❑ <br />N/A Yes ❑ No <br />❑ <br />received proper containers? <br />Samples received intact? Yes EP No <br />❑ <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 />Contacted By: _ <br />Call Received By: <br />Comments: <br />11 <br />ADDITIONAL TEST(S) REQUEST 1 OTHER <br />Date: Time: <br />v.5.02 <br />