Laserfiche WebLink
BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev. No. 10 01121/04 Page <br /> Submission #:a 6 -//U Project Code: TB Batch # <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Fal Express ❑ S ❑ Hand Delivery ❑ Ice Chester None ❑ <br /> b Field Service Ff Other ❑ (Specify) Box ❑ Other ❑ (Specify) <br /> Refrigerant: IceJVor' Blue Ice ❑ None ❑ Other ❑ Comments: <br /> Custody Seals: Ice Chest ❑ Containers ❑ None�Comments: <br /> Intact? Yes ❑l No ❑ Intact? Yes ❑ No ❑ <br /> All samples received? Yes Jd' No❑ All samples containers intact? Yes No ❑ Description(s) match COC? Yes 6�-No ❑ <br /> COC Received Ice Chest ID G� Emissivity 4797 Date/Time O <br /> .P-YES N� Temperature: °C Container <br /> l" Thr m D• y`�- Analyst (nit /( <br /> SAMPLE CONTAINERS t 2 3 1 4 5 <br /> 6 7 8 9 10 <br /> QT GENERAL MINERAL/GENERAL PHYSICAL <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 /> IOOmI TOTAL ORGANIC CARBON <br /> T TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> LAdKNOLICS <br /> 40WA VIAL TRAVEL BLANK <br /> 40ml VOA VIAL 1 <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 !Ti <br /> T EPA 525 <br /> T EPA 525 TRAVEL BLANK ®j , <br /> IOOml EPA 547 - �--r <br /> I00m1 EPA 531.1 <br /> T EPA 548 <br /> T EPA 549 <br /> T EPA 632 <br /> T EPA 8015M <br /> T QAIQC S (� <br /> TAMBER OT <br /> 8 OZ.JAR 2 <br /> 32 OZ.JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PL BAG <br /> FERN USIRON <br /> ENCORE <br />;omments <br /> Sample Numbering Completed By: DetelTime: lv� <br /> IH:kDOCS1WP801LA8 DOCS\FORMSISAMREC2.WPOI <br />