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BC LABORATORIES INC SAMPLE RECEIPT FORM Rev No to 01/21104 Page _ _ Of <br /> Subrnlsslorl # Project Code TB Batch # <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> F ral Express ❑ UP'S Q Hand Delivery ❑ Ice Chest Fill None ❑ <br /> I b Field Service l3' Other ❑ (Specify) Box ❑ Other ❑ (Specify) <br /> Refrigerant Ice Blue Ice ❑ None ❑ Other ❑ Comments <br /> Custody Seals Ice Chest El Lainers ❑ None Comments <br /> Intact? Yes ri No j <br /> tr Yes ❑ No <br /> All samples received) Yes O! Ne❑ All samples containers intact Yes No❑ Description(s) match COCA Yes C3--W—o ❑ <br /> )LOC Received Ice Chest ID --92)L& Emissivity �1 Date/Tame ) <br /> BYES Q NO Temperature _S 71 Container T Analyst Inst <br /> r ID <br /> SAMPLE CONTAINERS t 2 3 5 6 7 g 9 10 <br /> QT GENERAL MINERAL!GENERAL PHYSICAL <br /> PT rE UNPRESERVED <br /> T INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2az NITRATE/NITRITE <br /> 100mi TOTAL ORGANIC CARBON <br /> T TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> P14MEMNOLACS <br /> 40WA VIAL TRAVEL BLANK <br /> 44ml VOA VIAL <br /> TEPA 413t 413 7,4181 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 mi VOA VIAL-504 <br /> T EPA 5081606/8090 <br /> F EPA 5151183-54) <br /> T EPA 525 <br /> T EPA 5I5 TRAVEL BLANK <br /> 100m1 EPA 547 <br /> 100mi EPA 531 ! I T IBUTIO <br /> T EPA 548 <br /> T EPA 549 C° <br /> T EPA 632 �y <br /> T EPA 80151,1 <br /> T 9A10C <br /> T AMU ER <br /> 8 Oa JAR <br /> 32 OZ JAR <br /> SOILSiE VE <br /> PCB VIA 1, <br /> 1'L' nnc <br /> I <br /> FERR us IRaN <br /> ENCORE. <br />,omments <br />;ample Numbering Completed By Dale/Time v V, �<J/lQ <br /> ��JJ iH 100CSiWP844LA9 aOCS4FOitm5iSAMHEC2 WP[ <br />