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BC LABORATORIES iNc_ SAMPLE RECEIPT FORM Rev.No. 10 01121/104 Page _ Of _ <br /> Submission #-. oj Project Code: TB Batch # <br /> SHIPPING INFORMATION $Yi1PPING CONTAINER <br /> Federal Express ❑ UPS❑ Hand DeFrvery ❑ ice Chest <br /> b Field Service Other❑ (Specify) None ❑ <br /> Box ❑ Other ❑ (Spedfyl <br /> Refrigerant_ Ice EJ Blue Ice ❑ None ❑ Other ❑ Comments: <br /> Custody Seals Ice Chest ❑ Containers ❑ None ❑ Comments: <br /> A I samples received? Ye No❑ AN samPles containers intact? Yes No❑ <br /> Desc.iPOaBls1 match COC? yes No ❑ <br /> Lfs OC <br /> Received YES NO TkeChestID � :j o, Date/Tinn `�1N�1� <br /> emperature: aC Container <br /> ^„ <br /> Analyst krt�� <br /> SAMPLE CONTAINERS <br /> OT GENERAL MWERAL/GENERAL PHYSICAL6 7 a <br /> PT PE UNPRF_SERVED <br /> Qr INORGANIC CHEMICAL METALS <br /> PT INORGANICCHFMiCAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2.NITRATE/NITRITE <br /> 100mi TOTAL ORGANIC CARBON <br /> TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PIA PHENOLICS <br /> JjWOA VIAL TRAVEL BLANK <br /> OA VIAL <br /> TEPA 4U.I 417. 418.1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> (BACTERIOLOGICAL <br /> 40 a1 VOA VIAL-504 <br /> 21 EPA 50&608/81180 <br /> Qj EPA 515.1/8150 <br /> OT EPA 525 <br /> 91 EPA 525 TRAVEL BLANK <br /> IBOd EPA 541 <br /> LWd EPA 571.1 <br /> T EPA 548 <br /> T EPA 549 <br /> T EPA 472 <br /> EPA 80LSM <br /> T <br /> T AMBER <br /> 8 OZ JAR <br /> 32 OZ.JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> F US IRON <br /> EN RE <br /> omments: <br /> ample Numbering Completed By: DateTme: <br /> I14:ID0CS1WP 1-A8D061F0AM51SAMREC2 WAIT <br />