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BC LABORATORIES INC. SAMPLE RECEIPT FORM, Rev,No.12 06/24108 Page Of <br /> S MiSSi, <br /> BC <br /> ®® <br /> SHIPPING INFORMATION HIPPING CONTAINER <br /> Federal Express V UPS 0 Hand Delivery El ice Chest\4 None 0 <br /> BC 1-ab Field Service 0 Other 0(Specify) Box 0 Other 0 (Specify) <br /> Refrigerant: Ice Slue None 0 Other r-1 Comments: <br /> Custody Seals Ice Chest. Containers 0 1 ""M*Wcomrnents: <br /> I <br /> Intact?Yes� No Cl Intact?Yes 0 No Cl <br /> R <br /> C — <br /> Refrigerant: <br /> Custody <br /> dy Sea Is <br /> All samples received? YeseNoo All samples containers intact? YogNlo 0 DescripCionis)ir.atch.COC?>e;��,No 0 <br /> C C JAN Z 1 -Z:UiU <br /> COC Received Emissivity: l Container: \)� Thermometer ID, Dateffirne 10 <br /> '14—YES 0 NO Temperature:A -c I C °C'V-V1 <br /> I Analyst lnit!el� <br /> SAM ENUMBERS <br /> SAMPLE CONTAINERS 3 4 6 6 7 a 9 Lo <br /> QT GENERAL MINERAL/GENERAL PHYSICAL <br /> FT PE UNPRESERvED <br /> QT INORGANIC CREMICAL METAL <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORms <br /> PT TOTAL SULFIDE <br /> .2oz.NITRATE/NITRITE <br /> PT TOTAL OR;kNIC CARBON <br /> PT TOX <br /> PT'CREMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> 40864 VOA!/I.AL TR..AVF-L BLANK <br /> 40inl VOA VLAL 1 i 1 '6� t%j <br /> PT ODOR <br /> BACTERIOLOGICAL <br /> 140 m;VOA VLM—ii), <br /> f EPA 508/60818090 <br /> II OT EPAc- <br /> US 11,81i <br /> OT EPA 525 <br /> -S27 EPA 525 TRAVEL BLANK <br /> 100MI EPA 547 <br /> I Winl EPA 53 L I <br /> QT EPA 548 <br /> QT EPA 549 <br /> TEPA 531 <br /> QT EPA 8015Na <br /> OT AMBER <br /> 8 07.JAR <br /> 32 OZ.JAR <br /> SOIL <br /> PCs VIAL <br /> PLASTIC BAG <br /> FERROUS IRON I <br /> ENCORE <br /> Comments: <br /> frnploNumbering CO,pletqdBy; DitelTi,e: )I ,I 1 <br /> A_Actual I C=Corrected jQ L� 2 <br />