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BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev.No.12 06/24149 Pae f <br /> O O <br /> Submission#: -- <br /> IPPING INFORMATION A ,SHIPPING CONTAINER <br /> Federal Express UPS❑ Hand Delivery 0 Ice Chesty None ❑ <br /> BC Lab Field Service ❑ Other❑(Specify) Box ❑ Other ❑(Specify) <br /> Refrigerant: " lce\Qo Blue Ice❑ None❑ Other❑ Comments: <br /> Custody Seals Ice Chest Containers❑ None❑ Comments: <br /> I intact?YesD No 0 <br /> All samples received? Yes No o All samples containers intact? YesX No 0 Description(s)match COC? Yes 1 No ❑ <br /> ' COC Received Emissivity: Container: a- Thermometer ID: Date/Time -� <br /> 'AJYES ❑ NO <br /> Temperature:A -- °C / C �-` °C Analyst Init T <br /> 56 tjMQFRS <br /> ' SAMPLE CONTAINERS t 2 3 4 S 6 7 s e to <br /> QT GENERAL.MINERAL/GENERAL PHYSICAL <br /> ' PT PE UNPRESERVED <br /> 7'INORGANIC CnMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2oz.NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBO <br /> PT TOX <br /> PT CHEMICAL 2XYf <br /> &EN D <br /> PtA PHENOLICS <br /> 40m)VOA VIAL TRAVEL jLMK <br /> 40m1 VOA VIAL <br /> T EPA 413.1 413.2 418.1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGIgAL <br /> 40 ml VOA VIAL-504 <br /> T EPA 508/608/8080 <br /> ' T EPA S 5. / <br /> 01 EPA S <br /> T EPA 525 TRAVEL BLANK <br /> 100ml EPA 547 <br /> 100ml 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 /> SOILSLEEVE <br /> ' PCB VIAL <br /> PIASTIC BA <br /> FE OUSIR N <br /> ENCORE <br /> ' Comments: <br /> Sample Numbering Completed By: Date/Time: <br /> A=Actual / C=CorrectedIH:MOCS%WP8oltA6_DOCSXFORMS1SAMREC2.WPDI <br />