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BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev.No.12 06/24108 Page Of <br /> Submission#: I T_ <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Express 0 UPS 0 Hand Delivery 0 Ice Chestv None 0 <br /> BC Lab Field Service Other 0(Specify) Box 0 Other 0(Specify) <br /> Refrigerant: Ice W Blue Ice 0 None 0 Other 0 Comments: <br /> Custody Seals Ice Chest 0 Containers 0 None Comments: <br /> I Intact' Intact?Yes 0 No 0 1 <br /> All samples received? Ye� No o All samples containers intact? Yes W No 0 Description(s)match COC? YesU No 0 <br /> COC Received Emissivity: 0,q,3 Container: VAA Thermometer ID 72 Date/Time OL I_01}Z,0 <br /> EYES El NO Temperature:A .-C I c !2- :S - -C Analyst lnit�_ <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS 9 2 3 4 5 1 6 7 8 9 10 <br /> OT GENERAL MINERAL/GENERAL PHYSICAL <br /> PT PE UNPRESERVED <br /> OT 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 /> _40w1 VOA VIAL TRAVEL BLANK <br /> 40w1 VOA VIAL <br /> OT EPA 413.1,413.2,418.1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL-504 <br /> gT EPA 508/608/8080 <br /> QT EPA 515.1/8150 <br /> OT EPA 525 <br /> OT EPA 525 TRAVEL BLANK <br /> 100ml EPA 547 <br /> 100nd EPA 531.1 <br /> QT EPA 548 <br /> 9T EPA 549 <br /> OT EPA 632 <br /> �LT EPA 8015M <br /> QT AMBER <br /> 8 OZ.JAR <br /> 3207JAR <br /> - <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> FERROUS MON <br /> ENCORE <br /> Comments: <br /> Sample Numbering Completed By: Date/Time: <br /> A=Actual I C=Corrected IH:%DOCSkWP80%LAB_DOCSTORMS%SAMREC2.WPDI <br />