Laserfiche WebLink
LABORATORIES INC. SAMPLE RECEIPT FORM Rev-No. to 0112IM4 Page^ Of <br /> omission #. CJ lJ Project Code: TB Batch # <br /> HIPPING INFORMATION S,,HIPPING CONTAINER <br /> None El <br /> eral Express t#PS❑ Hand Delivery t] Ice he ® Other U(Specify) <br /> Lab Field� (] Other❑ (Specify) <br /> frigerant: Ice,t Blue Ice 0 None 0 Other® Comments: <br /> stody Seats Ice Chest® Containers O None© Comments: <br /> 11 kdacuo s_CLIts: <br /> samples received? Y No❑ AN samples eontamers intact? -4-rq No O Description(s)match COC? Y No O <br /> ;OC Received Ice Chest 10 Emisssivity lJ Date <br /> YES ❑ NO Tatme ! -, *C Container -- - Analyst Ink <br /> enr <br /> SAMPLE CONTAINERS z 3 4 s s a 9 to <br /> GENERAL A[ff aRAU GENERAL PHYSICAL <br /> PE UM SERVED <br /> iAl)KCANIC CHEMICAL METALS <br /> #NORGANIC ClWJMHCAL METALS <br /> CYANIDE <br /> "rNITROGIad FiORMS <br /> TOTAL StRYME <br /> NITRATE I NITRITE <br /> TOTAL ORGANIC CARBON <br /> TOx <br /> CIIF.M1Cpt.OXYGEN pW:MANt) <br /> PHENOLICS <br /> *wf VOA VULTRAVR.LSI.ANK <br /> VOA VIAL <br /> [ [ c s [ s e'� <br /> EPA 313_t 413. 41&L <br /> 'T ODOR <br /> DLOLOGICAL <br /> CTERIOLOGICAL <br /> to d VOA VJAL-504 <br /> EPA <br /> EPA 515.IA150 <br /> EPA 525 <br /> EPA 525 TRAVEL BLANK <br /> EPA 547 <br /> FPA 531.1 <br /> T EPA 548 <br /> EPA 549 <br /> EPA 432 <br /> EPA So15M <br /> ANIBER <br /> 107-JAR <br /> OZ LAR <br /> Sl_EEY£ <br /> PCB VIAL <br /> LASTIC BAG <br /> ---w tom <br /> ORE <br /> ernts: <br /> Nursnberyny Completed By DatelTme: <br /> !N_%6oCS\wean[LaS,00cSlf'o[iMs15ANeREc2.wvo! <br />