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r <br /> BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev.No.to 01/21/04 Page Of <br /> Submission #: Pro'ect Code: TB Batch # <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Expre UPS❑ Hand Delivery ❑ Ice Chest-N, None ❑ <br /> SC Lab Field Service ❑ Other❑ (Specify) Box ❑ Other ❑ (Specify) <br /> Refrigerant: Ice43 Blue Ice ❑ None ❑ Other❑ Comments: <br /> Custody Seals :Ick Chest© GNo Comments: <br /> Etatsc y6j,:rl <br /> All samples received? Yes No❑ All samples containers intact? Yes No❑ Descriptionis)match COC? Yes No ❑ r <br /> COC Received Ice Chest ID Emissivity Date/T' <br /> � Temperature: C CntameD NO <br /> Analyst InitYES Th I <br /> SAMPLE CONTAINERS z a 4 s s 7 s �to� <br /> OT PENERAL MINERAL/GENERAL PHYSICAL <br /> PT PE UNPRESERVED r <br /> T INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2"NITRATE/NITRITE ' <br /> 100m]TOTAL ORGANIC CARBON <br /> T TOX <br /> Pr CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> 40ml VOA VIAL TRAVEL BLANK „ <br /> 40ei1 VOA VIAL E" 1_175 13 ! S ! 3 I_3i E 1 ! t t <br /> T EPA 413.I 413.2 418.1 r <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL-504 <br /> T EPA 508/60818080 <br /> T EPA SIS.VS1S0 <br /> OT EPA 525 <br /> T EPA 525 TRAVEL BLANK <br /> 100wl EPA 547 <br /> 100ml EPA 53LI <br /> T EPA 548 <br /> 1 OT EPA 549 <br /> F <br /> 320L5M <br /> T 9A/ <br /> OT AMBER r <br /> 8 OZ.JAR <br /> 32 OZ.JAR <br /> SOLL SLEEVE ' <br /> PCB VIAL <br /> PLASTIC BAG <br /> FERROUS IRON , <br /> ENCORE <br /> Comments: r <br /> Sample Numbering Completed By _ Date/Time: 1� <br /> [F4IDOCS1WPeO1LA8 DOCSIFORM8ISAMREC2.WPDI <br />