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ge LABORATORIES INC. SAMPLE RECEIPT FORM Rev,No. 11 04/04/08 Page Of <br /> Submission #: U� U 2� Project Code: TB Batch # <br /> ::1 <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Express UPS © Hand Delivery C� Ice C}aest C None Cl <br /> B6 Lab Feld Servi 0 Other O (Specify) <br /> Box 0 ' outer El (Specify} <br /> Refrigerant: Ice Blue Ice O None El Other❑ Comments: <br /> Custody Seals Ice Chest❑ Colltaf*9 0 None Comments: <br /> tntact� a ❑ N Inta t?YesC] No <br /> Na C7 <br /> C? Yes L <br /> AN samples received? Yes M/ No IJ All samples containers intact? Yes[V/ No O Description(s)match CO <br /> Ice Chest 1DEmissivityDale/Time UJ <br /> COT oC Received Tem erature:5. 'C Container t j <br /> YES ❑ NO p �L Analyst Init '1 _ <br /> m IO: <br /> SAMPLE CONTAINERS3 4 5 6 7 8 9 10 <br /> t 2 <br /> QT GENERAL MINERAL/GENERAL PHYSICAL <br /> PT PE UNPRESERVED <br /> T INORGANIC CHEMICAL METAL5 <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2oz.NITR:#"fE/NI'1'R11'E; <br /> looml TOTAL ORGANIC CARBON <br /> T'1'OX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS ,c.. <br /> 40-1 VOA V'IAI."TRAVEL AI,ANK t t <br /> 40m1 VO:\i'1AI. <br /> T EPA 413.1 413.2 418.! <br /> PTODOR <br /> KAf)IO1.OGICAL <br /> BACTERIOLOGICAL. <br /> 40 nil VOA VIAL,504 <br /> T EPA 5081608/8086 <br /> T EPA 515.1/8150 <br /> T EPA 525 TRAVEL BLANK tet, <br /> 10om1 F.PA 547 � , 'eq � <br /> 100m!EPA 531.1 i} ! I <br /> T EPA 548 f . ,t a <br /> T EPA 549 <br /> TEPA 632 <br />