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BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev.No.t2 Be/247Be Page Of c <br /> Submission #: <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Express ❑ UPS ❑ Hand Delivery ❑ Ice Chest 1tT ° None ❑ <br /> BC Lab Field Service $ Other❑ (Specify) Box ❑ Other ❑.(Specify) <br /> Refrigerant: Ice Blue Ice ❑ None ❑ Other ❑ Comments: <br /> Custody SealsIce Chest ❑ Containers ❑ None -Comments: <br /> Intact?Yes❑ No❑ Watt?Yes O No ❑ <br /> All samples received? Yes Na❑ All samples containers intact? Ye <br /> ,,�No❑ Descriptions)match COC? Ye�lo O <br /> COC Received Emissivity: �,� Container:tvrtl.l ThermometerlD: U EAn.'I'yT,'1mInit <br /> NG-\3 'j0 <br /> DYES ❑ NO �T— G al' ,J Ztw <br /> Temperature:A • —\ °C I C Q. .1 -C <br /> SAMPLE <br /> SAMPLE CQNTAINERS t z a 4 5 6 7 e s m <br /> OT GENERAL MINERA 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 /> tui NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PIA PHENOLICS <br /> 40.1 VOA VIAL TRAVEL BLANK <br /> 40.1 VOA VIAL 1 I 1 I I I 11 1 1 1 I 1 I 1 1 <br /> T EPA 413.1,413-2,418.1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 mIvOA;VIAL,504 <br /> T EPA 5Q8/608/8090, <br /> I I SU <br /> TEPA.S15.U8150 .pu <br /> TEPA:525 —" <br /> QT t25 TRAVEL BLANK <br /> 100m1'EPA.547 <br /> 100.1 EPA 531:1 . <br /> 7 EPA 548 : <br /> T EPA 549 <br /> T EPA 632 <br /> TEPAHORT 1 O <br /> T AMBER <br /> CY_r, NO, NO, OF <br /> 4 <br /> EA <br /> 8 OZ JAR <br /> 32 OZ JAR <br /> SOIL SLEEVE <br /> PCB VIAL - <br /> FERROUS IRON <br /> ENCORE '.. <br /> Comments: z ` - <br /> Sample Numbering Completed By: Dale/Time. <br /> A=Actual / C=Corrected - Inaoocslwaoalu+o oocslro RM515AMRecz.WPDl <br />