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BC LABORATORIES INC. COOLER RECEIPT FORM Rev_No_ 13 08/17112 Page Of <br /> Submission <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> LLab <br /> ss ❑ PS ❑ Hand Delivery ❑ Ice Chest !Hone ❑ <br /> Service Other ❑ (Specify) Box ❑ Other ❑ ISpecify) <br /> Refrigerant: Ice Blue Ice ❑ None ❑ Other ❑ Comments: <br /> Custody Seals ice Chest ❑ Containers ❑ None Comments: <br /> I Injactq Y-I n m] Intart7 Yg:.-t rl N <br /> All samples received? Ye No❑ AN samples coontainers intact? Ye No❑ Descriptionls) match COC? e�ONo � <br /> COC Received Emissivity: 0 1 �- Container:� Thermometer ID: a Q 1 Date/Time 1 <br /> FVYES ❑ NO a3�v <br /> Temperature: I A ) 1,9 <br /> °C ! 1C ) a- °C Analyst )nit <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS 8 9 10 <br /> 7 2 3 4 5 6 7 <br /> CIT GENERAL MINERAL!GENERAL PHYSICAL dA} <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/NITRTFE <br /> PT TOTAL ORGANIC CARBON <br /> PT TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PLA PHENOLICS <br /> 40"VOA VIAL TRAVEL BLANK <br /> 40m1 VOA VIAL <br /> T EPA 413.1 413.2 418.1 <br /> PT OD <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 mi VOA VIAL-504 <br /> T EPA 508/608080 <br /> T EPA 515.118150 <br /> T EPA 525 _ <br /> T EPA 525 TRAVEL BLANK <br /> 100m1 EPA 547 <br /> 100ml EPA 531.1 <br /> T EPA 548 <br /> T EPA 544 <br /> T EPA 632 <br /> T EPA 8015M <br /> T AMBER <br /> 8 OZ.JAR <br /> 32 OZ.JAR <br /> ISOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> FERROUS IRON <br /> ENCORE <br /> SMART KIT _ <br /> Csmments; <br /> SF--ni'�Nu-l)erin^ Cc7-o'ev3d 5,-: D3*-31T Mme: Q <br /> A Actual I C Corrected <br /> [S:SMyODCS1W ord PerfetlSLAB_OOCS{FORMS55AMRECR 13] <br />