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BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev.No.10 01n1/04 Page Of <br /> ubmission #: - Project Code: 1 TB Batch# <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Express k UPS❑ Hand Delivery ❑ Ice Chest None ❑ <br /> C Lab Field Set-W& ❑ Other❑(Specify) Box ❑ Other ❑(Specify) <br /> Refrigerant: 1 Blue Ice❑ None❑ Other❑ Comments: <br /> ustody Seals st , 4 `': g' � None "j Comments: <br /> • n#�Yes�° �10:� "s.�ntad Ir�'s' � BAIc: <br /> 1 samples received? Yes W No❑ All samples containers intact? Yes J2- No❑ Description(s)match COC? Yes U- No ❑ <br /> COC Received Ice Chest ID Emissivity C Date/Time <br /> ES (] NO Temperature: °C Container \{ Analyst snit `Vl� <br /> Thermometer ID: Ys <br /> SAMELE NUMBERS <br /> SAMPLE CONTAINERS 1 2 3 a s e 7 a s to <br /> [GENERAL MINERAL/GENERAL PHYSICAL <br /> PE UNPRESERVED <br /> INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> CYANIDE <br /> NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 11NITRATE/NITRITE <br /> 1l TOTAL ORGANIC CARBON <br /> T TOX <br /> CHEMICAL OXYGEN DEMAND <br /> PHENOLICS <br /> 40m1 VOA VIAL TRAVEL BLANK 4 <br /> 46ol VOA VIAL <br /> EPA 413.t 413.1 418.1 <br /> PT ODOR <br /> FFIOLOG[CAL <br /> ERIOLOGICAL <br /> 1VOA VIAL-504 <br /> T EPA 508/608/8080 <br /> PA 515.1/8150 <br /> PA 525 <br /> T EPA 525 TRAVEL BLANK <br /> i EPA 547 <br /> 1 EPA 531.1 <br /> T EPA 548 <br /> PA Sag <br /> PA 632 <br /> )T EPA 8015M <br /> f&A/OC <br /> o MBER <br /> OZ.JAR <br /> JAR <br /> SLEEVE <br /> CB VIAL <br /> TIC BAG <br /> OUS IRON <br /> VCORE <br /> ents: <br /> e Numbering Completed By: DateiTime: <br /> l IH:IDOCSIWP80\LAB_DOCSIFORMS4SAMREC2.WPD] <br />