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t <br /> ORATORIES INC. SAMPLE RECEIPT FORM Rev. No. 10 01/21/04 Page Ofssion #: } Project Code: TB Batch # <br /> SHIPPING INFORMATION SFJIPPING CONTAINER <br /> Federal Express 0 ❑ Hand Delivery ❑ FIce Chest None ❑ <br /> BC Lab Field Service Other ❑ (Specify) Box ❑ Other ❑ (Specify) <br /> Refrigerant: Ice Blue Ice ❑ None ❑ Other ❑ Comments: <br /> Custody Seals: Ice Chest ❑ Containers ❑ None Comments: <br /> Intact? Yes ❑Na ❑ Intact? Yes ❑ No ❑ <br /> All samples received? Yes No❑ All samples containers intact? Yes No❑ Description(s) match COC? Yes C3"No ❑ <br /> �OC Received Ice Chest ID Emissivity _S q.A Date/Time <br /> L1 YES ❑ NO Temperature: °C Container CstLM _ <br /> Thr er D: '-'�"'^1'� Analyst Init <br /> SAMPLE CONTAINERS NUMBERSI <br /> OT GENERAL MINERAL)GENERAL PHYSICAL <br /> PT PE UNPRESERVED <br /> 7 INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> - <br /> oz NITRATE/NITRITE <br /> 100ml TOTAL ORGANIC CARBON <br /> T TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> 40.1 VOA VIAL TRAVEL BLANK <br /> 40.1 VOA VIAL I I * All6 <br /> T EPA 413.1 413.2 418.1 NO <br /> PT ODOR f2 SS <br /> RADIOLOGICAL C <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL-504 <br /> T EPA 508/608/8080 <br /> T EPA 515.1/8150 <br /> T EPA 525 <br /> T EPA 525 TRAVEL BLANK <br /> 100.1 EPA 547 <br /> 100m1 EPA 531.1 <br /> T EPA 548 r _ <br /> T EPA 549 I �f ItiD RIBUTI N <br /> T EPA 632 <br /> T EPA 8015M <br /> T AI C <br /> TAMBER <br /> 8 OZ.JAR <br /> 32 OZ,JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> FERROUS IRON <br /> ENCORE <br /> Comments: <br /> Sample Numbering Completed By: Date/Time: _ /` <br /> C)i 1H:IDOCSIWP801LA9_DOCSIFORMS1Sn MREC2.WPD] <br />