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BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev.No.12 06124108 Pae L-Of L <br /> Submission#: Q , <br /> SHIP G INFORMATION SHIPPING CONTAINER <br /> Federal Express 0,- UPS 0 Hand Delivery 11 Ice Chest4D✓- ' None 0 <br /> BC Lab Field Service 0 Other 0(Specify) Box 0 Other 0(Specify) <br /> Refrigerant: lce[5I,-"Blue ice 0 None 0 Other 0 Comments: <br /> Containers 0 None El Comments: <br /> intact? <br /> Y., <br /> Custody Seals Containers <br /> Yes 0 No <br /> lo I Cn 0 <br /> All samples received? Yes Noo All samples containers intact? Yes 0 No 0 Description(s)match COC? Yes 0 No 0 <br /> CQ�', Received Emissivity: Container: \J�� Thermometer DateMme 4 <br /> 9-YfS F-1 NO Temperature,A -.c I C � - -c Analyst Init <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS 1 3 4 5 6 7 8 9 10 <br /> OT GENERAL MINERAL/GENERAL PHYSICAL <br /> 1 PT PE LIN PRESERVED <br /> OT INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL.METALS <br /> FIT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2oz.NITRATE I NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> 40ml VOA VIAL TRAVEL BLANK <br /> 40wI VOA VIAL <br /> QT EPA 413.1 413.2 418.1 <br /> PT ODOR <br /> RADIOLOGICAL, <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL,504 <br /> OT EPA 5081608/8080 <br /> PT EPA 515.1/8150 <br /> QT EPA 525 <br /> QT EPA 525 TRAVEL BLANK <br /> 1110ml EPA 547 <br /> 100mi EPA 531.1 <br /> OT EPA 548 <br /> QT EPA 549 <br /> ' lI EPA 632 <br /> OT EPA 8015M <br /> QT AMBER <br /> 9 OZ JAR <br /> 32 OZ.JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> FERROUSIRON <br /> LENCORE <br /> ------ <br /> Comments: <br /> Sample Numbering Completed By: Dateffirnei <br /> A=Actual I C=Corrected [H.U)OCMWP601LA8-DOCSIFORMSk$AMREC2.WPDI <br />