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F <br /> LABORAT®RIES INC. SA PIE RECEIPT FORM Rev.No.12 06a24M8 Page Oit7rnissiorl <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Express UPS 0 Band Delivery ® Ice Chest none O <br /> C Lab Field Service 0 Other D(Specify) Box D Other ❑(Specify) <br /> Refrigerant: Iceg Blue Ice❑ None❑ Other❑ Comments: <br /> ' Custody Seals Ice Chest Con�Do <br /> None❑ Comments: <br /> Intact?Yes Na Gl Intact <br /> All samples received? Yes No® All samples containers intact? Yes No 0 Description(s)match COC? Yesd No Cl <br /> ' COQ Received Emissivity: Rp Container: Thermometer 1D: Daterrime <br /> El <br /> 9l <br /> Y S O <br /> Temperature:A s J °C ! C 'C Analyst lnit LT <br /> SAMPLE CONTAINERS ' 2 3 4 s & 7 8 0 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 N1TRO4rEN FORR9S <br /> PT TOTAL SULFIDE <br /> 2.&NITRATE I NITPJTk <br /> PT TOTAL ORGANIC CARBON <br /> PT TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> ' 40rn1 VOA VIAL TRAVELBLA.NN_ <br /> Jr- <br /> 40mi VOA VIAL !2 ul � <br /> I - t 1 ( ,i II ! t• I t R 1 <br /> T EPA 413.1,J112.418.1 <br /> PT ODOR <br /> RADIOLOGICAL ! <br /> BAC:rERIOLOGICAL <br /> 40 m!VOA VIAL-504 <br /> T EPA 509/60818080 <br /> OT EPA 515.1/8150 gg <br /> T EPA 525 i <br /> T EPA 525 TRAVEL BLANK <br /> 100m!EPA 547 <br /> 100mi EPA 531.1 <br /> T EPA 549 <br /> T EPA 549 ] <br /> 1T EPA 632 I <br /> OT EPA 3015n! <br /> 01 AMBER <br /> $OZ.JAR <br /> 3'OZ.JAR <br /> SOIL SLEEIE _ <br /> ' PCB VIAL <br /> PLASTIC BAC; <br /> [EFERR 0 U-SI,I R 0, <br /> ENCORE <br /> Comments:_ <br /> Sample Numbering Completed O<. — 'i J Datef7irne: <br /> t,=Actual ) C=Corrected in ooc,s�saReuaLea,,�a a oR�as �ir�rc;,.v^a of <br />