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BC LABORATORIES INC. SAMPLE RECEIPT FORM flev.Na- 10 01/21/04 Page 2 Of <br /> Submission #0: os-- o0l Project Code: TB Batch # <br /> SHIPPING INFORMATION SIjIPPING CONTAINER <br /> Fert-ral Express ❑ tips ❑ Hand Delivery ❑ TIce Chest e� None Q <br /> Bl� Feld Service Other 0 ISpecilyl Box Cl Other ❑ (Specify) <br /> Refrigerant: ice Blue Ice ❑ None 0 Other 0 Comments: <br /> Custody Seals: lce Chest ❑ Containers ❑ None Comments: <br /> Infect? Yes—Q Na ❑ Intact?Yes ❑ N0 —/ <br /> AN samples received? Yes L�' No O All samples containers intact? Yes 0--."No 0 Description(s) match COC? Yes C No ❑ <br /> �OC Received Ice Chest M - Emissivity �97 Date/Time <br /> P YES ❑ NO Temperature:�1-- •c Container <br /> Thr ID Analyst snit <br /> ';AMPLE NUMBERS <br /> SAMPLE CONTAINERS I t 2 3 4 5 1 6 7 !a 1 y <br /> at GENERAL MINERAL!GENERAL PHYSICAL <br /> PT PE UNPRESERVED <br /> T INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> tor.NITRATE/NITRITE <br /> 100m1 TOTAL ORGANIC CARBON <br /> T rax <br /> PT CHEMICAL OXYGEN DEMAND <br /> INA y__-*IOLICS <br /> 40mf%,_,VIAL TRAVEL BLANK �7__ <br /> 40m1 VOA VIAL r 3i Eh r r rA r r <br /> T EPA 413.E 413.2,419-1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> DACTEREOLOGICAL <br /> 1U ml VOA VIAL-504 <br /> F EPA 508166818080 <br /> T EPA 515.11815" <br /> T EPA 525 <br /> TEPA 525 TRAVEL BLANK <br /> 100m1 EPA 547 <br /> 10"ml EPA 53 1.1 <br /> T EPA 548 <br /> T EPA 544 <br /> T EPA 632 <br /> T EPA 601514 <br /> T QAf <br /> T AMBER <br /> OZ JAR <br /> 2 OZ.JAI? <br /> OILSLEEVF <br /> 'CB ViAl- <br /> 'LA:, AG <br /> 'ERROUS IKON <br /> :NCORE <br /> ommen t s <br /> ample Numbering Completed By: DatelTime� Q �, <br /> IHTIDOCS%WPBO1tA9 DOCSIFORMSISAMREC2.WPDI <br />