Laserfiche WebLink
Laboratories, Inc. I <br />Environmental Testing Laboratory Since 1949 <br />4j ITigof TM -T- I=- • • Chi: T�'T9C* 0 <br />BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev. No. 12 06/24/08 Pae Of <br />I I —r 2 !n'^7 <br />Submission it; 1 i 1 1 .✓ <br />SHIPPING INFORMATION <br />Federal Express ❑ UPS ❑ Hand Delivery ❑ <br />BC Lab Field Service Other ❑ (Specify) <br />HIPPING CONTAINER <br />Ice Chest JRF None ❑ <br />Box ❑ Other ❑ (Specify) <br />Refrigerant: lcel6l Blue Ice ❑ None ❑ Other ❑ Comments: <br />Custody Seals Ice Chest ❑ Containers ❑ NoneV Comments: <br />Intact? Ye N 1 Y s o <br />All samples received? YesJ6 No ❑ All samples containers intact? Yes,u1 No ❑ Description(s) mateh COC? Yes.0 No ❑ <br />COC Received Emissivity: L-29� Container. Thermometer ID: X1-7_ Datemme <br />DYES ❑ NO 2 <br />Temperature: A H, 3 °C I C �l0 °C Analyst Init, <br />UMBERS <br />SAMPLE CONTAINERS s 2 s a s s 7 e s 10 <br />OT GENERAL MINERALI GENERAL PHYSICAL <br />PT PE UNPRESERVED <br />OT INORGAMC CHEMICALTAWS <br />PT INORGANIC MICAL METALS <br />PT CYANIDE <br />PT NrrR EN FORKS <br />PT TOTAL SULFIDE <br />2oz NITRATE I NITRITE <br />PT TOTAL ORGANIC CARBON <br />PT TOX <br />PT CHEM OXYGEN E <br />PtA PHENOLICS <br />40m1 VO VIAL TRAVEL BLANK <br />1 1 1 1 1 !) ( 1 f 1 f ) t 1 1 <br />40m1 VOA <br />T EP 413.1 413.2,41&L <br />PT DOR <br />RADI LOG2 <br />BA RI LOGICAL <br />40 ml VOA VIAL 504 <br />T EPA 50 6088080 <br />OT EPA W-118150 <br />T EPA 525 <br />T EPA 525 TRAVEL BLANK <br />100mt EPA 547 <br />100m1 EPA 531.1 <br />T EPA 548 <br />T EPA 549 <br />T EPA 632 <br />T EPA 9015M <br />10T <br />AMBER <br />8 OZ JAR <br />32 OZ JAR <br />SOIL LEEVE <br />PCs VIAL <br />PLASTIC BAG <br />FERROUS BION <br />ENCORE <br />Comments: <br />Sample Numbering Completed By: Date me <br />/ <br />A = Actual t C - Corrected pi:WOC3IWP8OOJIe_D0C51F0RM816AMREC2 WPD1 <br />The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must be reproduced in its entirety. <br />All results listed in this report are for the exclusive use of the submitting party BC Laboratories, Inc. assumes no responsibility for report alteration) separation, detachment or third party interpretation <br />4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bc[abs.com Page 4 of 12 <br />