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BC LABORATORIES <br /> INC. SAMPLE RECEIPT FORM Rev.No. 10 01/21/04 Page LOf <br /> Submission #: Project Code: TB Batch # <br /> HIPPING INFORMATION - IPPING CONTAINER <br /> Federal Express V UPS❑ Hand Delivery ❑ Ice Chest None ❑ <br /> BC Lab Field Service ❑ Other❑ ISpecify) Box ❑ Other ❑ (Specify) <br /> Refrigerant: Ice Blue Ice ❑ None ❑ Other ❑ Comments: <br /> Custody Seals: Ice Chest❑ [Containers ❑ None Comments: <br /> ?yes <br /> No] <br /> intact? <br /> Ye <br /> All samples received? Yes q5jNo ElAll samples containers intact? Y No �$ Description(s}match COC? Ye o❑c,� <br /> OC Received Ice Chest ID Emissivity _nn"t- Datee' )Q ��JmfTim <br /> Temperature: C Container <br /> YES NIO Th m r ID: Analyst]nit <br /> SAM F NI lMRFR-q <br /> SAMPLE CONTAINERS 2 3 4 6 6 7 B 9 10 <br /> OT 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 /> 207.NITRATE/NITRITE <br /> 100mi TOTAL ORGANIC CARBON <br /> T TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> 40m1 VOA VIAL TRAVEL BLANK <br /> 40m1 VOA VIAL <br /> T EPA 413.1,413.2,41&1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL-504 <br /> T EPA 508/608!8080 <br /> T EPA 515.1/8150 <br /> T EPA 525 <br /> T EPA 525 TRAVEL BLANK <br /> 100m1 EPA 547 <br /> 100m)EPA 531.1 <br /> T EPA 548 <br /> T EPA 549 <br /> T EPA 632 <br /> T EPA 8015M <br /> T C <br /> T AMBER <br /> 8 OZ.JAR <br /> 32 OZ JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> FERROUSIRON <br /> ENCORE <br /> Comments: - <br /> Sample Numbering Completed By: Date/Time: <br /> - [H:\DOCS\W P80\LAB_DOCSW0RMS1SAMREC2.W PD] <br />