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BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev. No. 12 06724/08 Page 1 OfLr <br /> Submission #: ()CSL-� V�LAL <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Express ❑ UPS ❑ Hand Delivery ❑ Ice Ches�o None ❑ <br /> BC Lab Field Service Other❑ (Specify) Box ❑ Other ❑ (Specify) <br /> Refrigerant: Ice Blue Ice ❑ None ❑ Other ❑ Comments: <br /> Custody Seals Ice.Chest.❑ Containers ❑ None of Comments: <br /> Intact?Yes❑ N0❑ Intact?Yes ❑ No ❑ <br /> All samples received? s No❑ All samples containers intact? Y o❑ Description(s)match C ? s No ❑ <br /> GOC Received Emissivity: 6tC2 Container: `) �.-Q- Thermometer ID:-,�T- Date/Time L{ Ij—\6 <br /> YES ❑ Na l 1 <br /> Temperature:A �� , `C ! C �, � `C Anal st YInit <br /> cNUMBERS <br /> SAMPLE CONTAINERS —1 2- tt.-2 ill 3, s a 5 6. 7 e e 10 <br /> OT GENERAL MINERAL/GENERAL PHYSICAL e' <br /> PT PE UNPRESERVED <br /> T INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FOP-NIS <br /> PT TOTAL SULFIDE <br /> 2a7.NITRATE INITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> 40m]VOA VIAL TRAVEL BLANK <br /> 40m1 VOA VLAI, <br /> T EPA 413.1 413.2,418.1 <br /> I <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTEFJOLOGICAL _ <br /> 40 ml VOA VIAL-504 <br /> OT EPA 508/608/8090 I I I <br /> T EPA 515.1/8150 <br /> OT GPA 525 <br /> OT EPA 525 TRAVEL BLANK <br /> I00mlEPA 547 <br /> 100ml EPA 531.1 <br /> T EPA 548 <br /> T EPA 549 <br /> T EPA 632 <br /> T EPA 8015N1 <br /> OT AMBER I - <br /> 8 OZ JAR <br /> 32 OZ.JAR <br /> SOIL SLEE`•T <br /> PCB VLaL <br /> PLASTIC B.;G <br /> FERROUS IRON <br /> ENCORE <br /> Comment=_: <br /> Sample Numbering Completed Bv? Am � DctelTine: —,( l L( cD <br /> A = F'.Cilcl I C = Corrected v i!i:�DGC5�1nF 6C'-il:o_DCCSVFCP.�,a5�5a1vi P.EGi.�n?Dl <br />