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BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev, No. 10 01/21/04 Page _ Of _ <br /> Submission #: Project Code: TB Batch # <br /> SHIPPING INFORMATION SIjIPPING CONTAINER <br /> Federal Express ElUSPS El Hand Delivery El lee Chest C� None E]BC Lab Field Service E3/ UPS <br /> Other ❑ (Specify) Box O <br /> Other ❑ (Specify) <br /> Refrigerant: Ice Blue Ice ❑ None ❑ Other ❑ Comments: <br /> Custody Seals: Ice Chest ❑ Containers ❑ None R�Comments: <br /> Intact? Yes ❑Nallo ❑ Intact?Ves ❑ No ❑ —/ <br /> All samples received? Yes B" No❑ All samples containers intact? Yes I/No ❑ Description(s) match COC? Yes l�J No ❑ <br /> �%OC Received Ice Chest ID 11% Emissivity , Cp Date/Time <br /> LJ YES ❑ NO Temperature: C Container <br /> Th r r ID- o Analyst Init (3T-6 <br /> L6 <br /> SAMPLE CONTAINERS <br /> 4 8 9 <br /> EAMELLUUMUESL— <br /> QT GENERAL MINERAL/GENERAL PHYSICAL 5 6 10 <br /> PT PE UNPRESERVED <br /> T INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2oz NITRATE/NITRITE <br /> 100.1 TOTAL ORGANIC CARBON <br /> T TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> 40m1 VOA VIAL TRAVEL BLANK <br /> 40ml VOA VIAL <br /> T EPA 413.1 413.2 418.1 <br /> PT ODOR <br /> RADIOLOGICAL <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 /> IOOmI EPA 547 <br /> I OOm1 EPA 531.1 <br /> T EPA 548 <br /> T EPA 549 <br /> T EPA 632 <br /> T EPA 8015M <br /> T OA1QC <br /> TAMBER <br /> 8 OZ.JAR <br /> 32 OZ.JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> ' PLASTIC BAG <br /> FERROUSIRON <br /> ENCORE <br /> m encs <br /> Semple Numbering Completed By: Date/Time; <br /> I -, arou <br /> IH:\DOCS\WPBO\LAB DOCSIFORMSISAMREC2.WPDJ <br />