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BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev.No.12 06/24108 Page_Of <br /> Submission #: <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Express ❑ UPS ❑ Hand Delivery ❑ Ice Cheskb None ❑ <br /> BC Lab Field Service Other❑(Specify) Box ❑ Other ❑ (Specify) <br /> FFsamplesreceived? <br /> c Blue Ice❑ None❑ Other❑ Comments: <br /> Ice Chest 0 Containers ❑ None)VComments: <br /> ntact?Yes❑ No❑ Intact?Yes O No O <br /> d? Yes No❑ All samples c�containers intact? Yes No❑ Description(s)match COC? Yes No t�1V@d Emissivity: V\ tContainer:�_ hermometer IDLIQ� Date[Timel-f-&❑ NOTemperature:A °C 1 C �t °C Analyst IniqX�— <br /> I SAMPLE NUMBERS <br /> SAMPLE CONTAINERS t 2 3 4 5 6. 7 8 9 W <br /> QT GENERAL MINERAL/GENERAL PHYSICAL <br /> PE UNPRESERVED 710-1, <br /> T INORGANIC CHEMICAL 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 CARBON <br /> PT TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> 40ml VOA VIAL TRAVEL BLANK <br /> 40ml VOA VIAL A71 1 { t { ) 1 1 I I l I t ) <br /> TEPA 413.t 4131. 318.1 <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 /> 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 /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> FERROUSIRON <br /> ENCORE <br /> Comments: <br /> Sample Numbering Completed Bv: Date/Time: <br /> SUS Z- <br /> A= Actual / C=Corrected IH:0OCS\WP80\LA8_DOC WOR MS\SAMREC 2.WPD] <br />