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BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev-.-N- o. 10 01/23/04 Page O i♦ <br /> Submission #: 3 t a Project Code- TB Batch # <br /> HIPPING INFORMATIONHIPPING CONTAINER <br /> Federal Express , UPS ❑ Hand Delivery ❑ Ice Chest None ❑ <br /> BC Lab Field Se ice ❑ Other❑ (Specify) Box ❑ Other ❑ (Specify) <br /> Refrigerant: Ice Blue Ice ❑ None 0 Other ❑ Comments: <br /> Custody Sealst Ice Chest❑ Containers ❑ None ❑ Comments: <br /> intact?Yes <br /> Ali samples received? Yes No Q All samples containers intact? Yes No❑ Description(s) match COC? Yes No ❑ <br /> .COC Received Ice Chest ID Emissivity Daie/Time� B) b$ <br /> Temperature: °C Container t <br /> YES El NO Th m ID: Analyst Init F/P"— � <br /> SA IIMRFRIq <br /> SAMPLE CONTAINERS t 2 3 4 5 6 7 a 9 to <br /> QT GENERAL MINERAL/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 /> 2oz.NITRATE/NITRITE <br /> 100nd TOTAL ORGANIC CARBON <br /> T TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> P(A PHENOLICS <br /> 40rd VOA VIAL TRAVEL BLANK <br /> 40m1 VOA VIAL + t t i i t s _ i✓ F t t + i i <br /> T EPA 413.1 413.2 418.1 J <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ail VOA VIAL-504 <br /> T EPA 5081608/8080 <br /> T EPA 515.1/8150 <br /> T EPA 525 <br /> T EPA 525 TRAVEL BLANK <br /> 100ml EPA 547 <br /> 100mi EPA.531.1 <br /> T EPA 548 <br /> T EPA 549 <br /> T EPA 632 <br /> T EPA 8015M <br />