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BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev.No.10 01121104 Paga. Of <br /> bmission#: OPtCO V — I Project Code: 1 TB Batch# <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Express-6, UPS❑ Hand Delivery ❑ Ice Chest,% None ❑ <br /> Lab Field Service ❑ Other❑(Specify) Box ❑ Other ❑(Specify) <br /> Refrigerant: Ic Blue Ice❑ None❑ Other❑ Comments: <br /> stody Seals <br /> il� None Comments: <br /> — Em samples received? Ye o❑ All samples containers intact? Yev"o❑ Description(s)match COC? Yes ❑ <br /> COC Received tce Chest ID Emissivity Date/Time AI RA <br /> [ .YES 11 NO ' Temperature: 'C Container \— - <br /> Th-meter er ID. Analyst Init <br /> SAMPLE NUMBERS.., <br /> SAMPLE CONTAINERS 1 2 3 4 S c 7 a s to <br /> QT GENERAL MINERAU GENERAL PHYSICAL <br /> E UNPRESERVED <br /> NORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> YANIDE <br /> PILITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> L NITRATE/NITRITE <br /> I TOTAL ORGANIC CARBON <br /> T TOX <br /> HEMICAL OXYGEN DEMAND <br /> PHENOLICS <br /> 10ml VOA VIAL TRAVEL BLANK <br /> 9M VOA VIAL 1 t 3) t (3 <br /> PA 413.1 413.2 418.1 <br /> MI <br /> PT ODOR <br /> IOLOGICAL <br /> 3 ERIOLOGICAL <br /> 10 ml VOA VIAL 504 <br /> )TjPA 508/608/8080 <br /> eJPA 515.1/8150 <br /> PA 525 <br /> DT EPA 525 TRAVEL BLANK <br /> EPA 547 <br /> AL EPA 531.1 <br /> IT EPA 548 <br /> APA 549 <br /> I PA 632 <br /> IT EPA 8015M <br /> I A/ <br /> MBER <br /> OZ.JAR <br /> GtJAR <br /> LEEVE <br /> CB VIAL <br /> TIC BAG <br /> OUS IRON <br /> 4CORE <br /> fents: <br /> e Numbering Completed By: &f I Daterrime: <br /> [H:V)OCS\WPOOUJI6_OOCSIFORMStSAMREC2.WPO1 <br />