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C LABORATORIES INC. SAMPLE RECEIPT FORM Rev.No.12 06/24/08 Pae Of _ <br /> ubmission#: —U i ZU <br /> S IPPING INFORMATION SHIPPING CONTAINER <br /> ederal Express UPS❑ Hand Delivery ❑ Ice Che None ❑ <br /> C Lab Field Se ice ❑ Other❑(Specify) Sox ❑ Other ❑(Specify) <br /> lefri Brant: IcW Slue Ice❑ None❑ Other❑ Comments: <br /> ustody Seals Ics 0110%❑ Contaiin,O:rs El Non amments: <br /> 1 ct?Ves,0 N fQ, 11nMct?.XQjD o 11 <br /> 'I samples received? Ye176—No O All samples containers intact? Ye L-No❑ Description(s) etch COC? Ye ❑ <br /> OC Received Emissivity: Container: ` Thermometer ID: at <br /> i YES ❑ NO <br /> Temperature:A 3--C ! C °C ly <br /> i =LL= <br /> SAMPLE CONTAINERS 1 2 3 4 6 6 7 8 S 10 <br /> T GENERAL MINERAL/GENERAL PHYSICAL <br /> F PE UNPRESFRVF.D <br /> NORGANIC CHEMICAL METALS <br /> I INORGA IC CHEMICAL METALS <br /> F CYANIDE <br /> C NITROGEN FORMS <br /> C TOTAL SULFIDE _ <br /> ztjITRATE I NITRITE <br /> r TOTAL ORGANIC CARBON <br /> rTOx <br /> r CHEMI AL OXYGEN DEMAND <br /> A PHENOLICS <br /> Im)VOA VIAL TRAVEL BLANK <br /> Iml VGA VIAL 13 (3) 1-)- tj ) 13 I i 1 i I <br /> T EPA 413.1 413.2 418.1 <br /> r ODOR <br /> AD U G1CAL <br /> ACTERIOLOGICAL <br /> 1 ml VOA VIAL.504 <br /> T EPA 508/60818080 <br /> EPA 515,118150 <br /> T EPA$25 <br /> T EPA 525 TRAVEL BLANK <br /> )OW EPA 547 <br /> )WI EPA 53:1.1 <br /> T EPA 548 <br /> T EPA 544 <br /> T. ._632_._..__.... <br /> T EPA 8015M <br /> IT AMBER <br /> OZ.JAR <br /> 102 JAR <br /> OIL SLEEVE <br /> CB VIAL <br /> LASTIC BAG <br /> ERROUSIRON <br /> ' NCORE <br /> Imments: <br /> mple Numbering Completed By: Date/Time: <br /> Actual I C=Corrected Irl:�WCS�WPOOILAe_ooCSXFORMMAUREC2-WPOI <br />