Laserfiche WebLink
FBC LASOiiAT+ORIES INC SAMPLE RECEIPT FORM Rev. No. 10 OV211o4 Page Of�ubmission Project Code- TB Batch # <br /> SHIPPING INFORMATION51jIPPING CONTAINER <br /> Ferl-ral Express ❑ IJP Q Hand Delivery ❑ lee Chest E� Norse ❑ <br /> B a Field Service Other ❑ (Specify) Box Cl Other 0 (Specify) <br /> Refrigerant: Ice Blue Ice O None 0 Other © Comments: <br /> Custody Seals: Ice Chest 0 Containers 0 None Comments: <br /> Intact? Yes ❑/No ❑ Intact?Yes ❑ No <br /> All samples received? Yes F3� No ❑ All samples containers intact? Yes f3 No❑ Descriplionts) match COC? Yes C� No D <br /> S OC Received lee Chest ID - Emiss;v;ty TQ'97 i�atelTime_�_9� <br /> Eek T ES ❑ NO Temperature:- - -C ContaineryQ �r <br /> Thr ID; Analyst Init <br /> SAMPLE CONTAINERS <br /> I 2 3 a 5 6 7 8 9 to <br /> OT GENERAL MINERAU GENERAL PHYSICAL <br /> IPT PE UNPRESERVED <br /> T INORGANIC CHF-MiCAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> FT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2ar-NITRATE I NITRITE <br /> IOOmI TOTAL-ORGANIC CARBON <br /> T TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PIA"---NOLICS <br /> 40m ftw,VIAL TRAVEL BLANK <br /> 40m1 VOA VIAL Io t <br /> T EFA 413.1 413'2,418.1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 mt VUA VIAL-5U4 <br /> T EPA 508160818080 <br /> T EPA 515.118150 <br /> T EPA 525 <br /> T EPA 575 TRAVEL BLANK <br /> IOOmI EPA 547 <br /> I OOmI EPA S3 I.I <br /> T EPA 548 <br /> T EPA 549 <br /> T EPA 632 <br /> T EPA 90[SAI <br /> T QAC <br /> T AMBER <br /> 107-JAR <br /> ,2 OZ.JAll <br /> ;0ILSLEt:VF. <br /> 'CH VIAL <br /> 'LA! tAG <br /> TPROUS IRON <br /> :NCORE <br /> wmmenls: <br /> mple Numbering Completed By Date/Time u <br /> IHIDpC SlWP901tA8 DOC 55FORMSISAMREC'2.WPp) <br />