Laserfiche WebLink
rIB3CC <br /> BO INC. AMPLE RECEIPT FORM Rev.NO.' 06!24108 Pae Of <br /> Ix�,Tal;;lEs S .� <br /> bmission#: <br /> 1 SHIPPING INFORMATION SHIPPING CONTAINER <br /> eral Express ❑ UPS❑ Hand Delive ❑ Ice Chestk None ❑ <br /> Lab Field Service D OtherA(Specify) � Box ❑ Other ❑(Specify) <br /> Refrigerant: Ice Blue Ice❑ None❑ Other O Comments: <br /> Custody Seals Ice Chest zl�, ContainersNone O Comments: <br /> ' Intact? .es �No Intact?Yes 0 No <br /> All samples received? YesA' No❑ All samples containers intact? Yeso No 0 Description(s)match COC? YesV Na 0 <br /> COC Received Emissivity: '9c�5 Container: Thermometer' DateMme C-�YES ❑ I140 �, o <br /> Temperature:A ��~-m� i-c.. / C � C Analyst!nit <br /> SAMPLE NumaEga <br /> SAMPLE CONTAINERS 1 2 3 4 6 S 7 8 9 16 <br /> OT GENERAL MINERAL/GENERAL PHYSICAL <br /> tPT PE UNPRESERVED <br /> T INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL.METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2oz.NITRATE 1 NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT TOX <br /> PT CHEMICAL OXYGEN DEMARD <br /> PtA PHENOLICS <br /> 40mi VOA VIAL TRAVEL BLANK nn <br /> 40ml VOA VIAL ►S t { ✓1 <br /> TEPA 413.1 413.2 418.1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL-504 <br /> TEPA 508160818080 <br /> T EPA 515.118150 <br /> T EPA 525 <br /> T EPA 525 TRAVEL BLANK <br /> ' 100ml EPA 547 <br /> IWml EPA 531.1 <br /> T EPA 548 <br /> T EPA 544 <br /> ' T EPA 632 <br /> T EPA 8015M <br /> OTAMBER <br /> t8 OZ.JAR <br /> 32 OZ.JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> FERROUSIRON <br /> ENCORE <br /> Comments- <br /> Sample <br /> � <br /> Sample Numbering Completed By: DateFrime: L�lJ <br /> A=Actual I C=Corrected IH:{DOCSIWP801LAB_DOCSLIORrAS1SAMREC2-WPOI <br />