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BC LABORATORIES INC. y SAMPLE RECEIPT FORM Rev.No. 12 05/24/08 P a g e,3 Of A nL <br /> Submission #: <br /> SHIPPING INFORMATION SHIPPING CONTAINER LA <br /> Federal Express ❑ UPS ❑ Hand Delivery ❑ Ice Ches�z None ❑ <br /> BC Lab Field Service Other❑ (Specify) Box ❑ Other ❑ (Specify) <br /> Refrigerant: Ice P� Blue Ice❑ None ❑ Other ❑ Comments: <br /> Custody Seals Ice Chest 0 Containers ❑ None Comments: <br /> Intact�Yes❑ No❑ Intact?Yes ❑ No ❑ <br /> All samples received? 'Yesk N ❑ All samples containers intact? Ye o❑ Description(s)match COC? Yes ❑ '!o <br /> COC Received Emissivity: Container: Thermometer ID:-Afr iDaterrime 4u--Vk-> <br /> ,f YES ❑ NO /-) <br /> Temperature:A & 011 °C 1 C 2.9 °C Analyst Init <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS 1 2-(A „4 LP -s� s `► a 1 1 —s 1� � jq i( <br /> QT 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 I I <br /> 2oz.NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT TOX <br /> PT CHEMICAL OXYGEN DEMAND I <br /> PtA PHENOLICS <br /> 40ml VOA VIAL TRAVEL BLANK <br /> 40mi VOA VIAL ) <br /> T EPA 413.1 413.2.418.1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL-504 I I <br /> OT EPA 508/608/8080 I I <br /> T EPA 515.1/8150 <br /> OT EPA 525 <br /> OT EPA 525 TRAVEL BLANK <br /> 100m]EPA 547 <br /> IOOmI EPA 531.1 <br /> T EPA 548 <br /> T EPA 549 <br /> T EPA 632 <br /> T EPA 8015M <br /> OT AMBER I i <br /> 8 OZ.JAR <br /> 32 OZ.JAR I I <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> FERROLIS IRON I I I I <br /> ENCORE Eli_ <br /> Comments: <br /> Sample Numbering Completed y. Date/Time: Lk(2U <br /> A=Actual / C=Corrected 1!,:\DCCS1l4IFBCtLAB_CCCSIFOP.MSISAIAREC2.WFD1 <br />