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BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev.No.12 06/24/08 Page L_ Of <br /> Submission #: oG q2 <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> '1 Federal Express ❑ UPS ❑ Hand Delivery ❑ Ice ChesvX None ❑ <br /> BC Lab Field Service Other❑ (Specify) Box ❑ Other ❑ (Specify) <br /> Refrigerant: Ice (tJ Blue Ice ❑ None ❑ Other❑ Comments: <br /> Custody Seals Ice Chest❑ Containers O None Comments: <br /> Intact?Yes❑ Na❑ Intact?Yes O No ❑ <br /> All samples received? Yes No❑ All samples containers intact? Yesb No❑ Description(s)match COC? Yes No ❑ <br /> I a31D <br /> COC Received Emissivity: ..�(\ Container: Thermometer ID: Date/Time 51Q--4- N <br /> 'YES ❑ No <br /> Temperature:AL 3 °C / C �—j�) °C Analyst]nit_j.)�_� <br /> I - SAMPLE NUMBERS <br /> SAMPLE CONTAINERS 1 2 3 4 5 6 7 8 s 10 <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 /> 2o7-NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> 40m)VOA VIAL TRAVEL BLANK <br /> 40m1 VOA VIAL 1 2 1 ) 1 ) 1 1 ) 1 ) 1 ) t ) 1 ( ) <br /> T EPA 413.1 413.2 418.1 <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 /> 100m]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 AMBER <br /> 8 OZ JAR <br /> 32 OZ.JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> FERROUS D20N <br /> ENCORE <br /> Comments: <br /> Sample Numbering Completed By: 1 Date/Time:S <br /> A=Actual / C=Corrected [H:\DOCS\WPBO\LAB_DOCS\FORMS\SAMREC2.WPD7 <br />