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E <br /> LABORATORIES INC. SAMPLE RECEIPT FORM Rev.No. 12 06/24/08 Facie —L Of <br /> bmission #: too <br /> ��� cJ • <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Express ❑ ,�UPS ❑ Hand Delivery El Ice ChesiNone ❑ <br /> BC Lab Field Service ) Other❑ (Specify} Box l❑� Other ❑ (Specify) <br /> `r <br /> I <br /> Refrigerant: I c 6\4 Blue Ice ❑ None❑ Other❑ Comments: <br /> Custody Seals Ice Chest 0 Containers 0 None Comments: <br /> Intact?Yes❑ No❑ Intact?Yes ❑ No ❑ <br /> All samples received? Yes p/No❑ All samples containers intact? Yes No❑ Description(s)match COC? Yes No D <br /> GOC Recei=Emissivity: Container: 1- Ther ameter ID:� Date/TimeES ; �1 °c ` c Analyst Ini5 <br /> SAMPLE NUMUEEa <br /> SAMPLE CONTAINERS 2 3 4 5 5 e 9 to <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 FORNIS <br /> PT TOTAL SULFIDE <br /> 2o7-NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> 40m1 VOA VIAL TRAVEL BLANK <br /> 40m1VOA VL4L I I 1 1 I 1 <br /> OT EPA 413.1 413.2.418.1 <br /> I - <br /> t <br /> PT ODOR - <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL _ <br /> 40 ml VOA VIAL-504 <br /> OT EPA 508/608/8080 <br /> T EPA 515.1/8150 <br /> OT EPA 525 <br /> OT EPA 525 TRAVEL BLANK <br /> 100m1 EPA 547 <br /> I00ml EPA 531.1 <br /> T EPA 548 <br /> T EPA 549 <br /> T EPA 632 <br /> T EPA 8015M <br /> T AMBER <br /> 8 OL JAR <br /> 32 OZ.JAR <br /> SOIL SLEEV E <br /> PCB VIAL <br /> PLASTIC BAG <br /> FERROUS IRON I ' <br /> ENCORE — <br /> Comments: S 3 <br /> Sample Numbering Completed By: G G Date/Time: <br /> A=Actual 1 C=Corrected ( 1F,:\oecsu'IIPSC:LAB_DOCS\FDRItAS\SANIREC2.WPDI <br />