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BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev.No.12 06/24108 Page I Of <br /> Submission 4: <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Express ❑ UPS ❑ Hand Delivery ❑ Ice Chest None 0 <br /> BC Lab Field Service If Other❑ (Specify) Box ❑ Other 0_(Specify) <br /> Refrigerant: Ice P.I' Blue Ice ❑ None ❑ Other ❑ Comments: <br /> Custody Seals Ice Chest ❑ Containers ❑ None Comments: a <br /> Inlacl7 Yes❑ No O. Intact?Yes ❑ No O <br /> All samples.received? Yes No O All samples containers intact? Yews � NNo O Description(s)match COC? Yes No ❑ <br /> COC Received Emissivity: 0% Container: LLr Container. L-,. Thermometer ID: Il4 LAnalysl <br /> W0- ��2r) <br /> ( YES ONO (�_� C l JIJ� i <br /> Temperature: A �.� `C 1 C <br /> SAMELE <br /> SAMPLE CONTAINERS I 2 3 4 6 6 7 B 6 to <br /> OT GENERAL MINE RAU GENERAL PHYSICAL <br /> PT PE UNPRESERVED <br /> 7 IN0RGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2oz NITRATE I NITRaDEMAND , <br /> PT TOTAL ORGANI <br /> PT TOX <br /> PT CHEMICAL OXYGENPIA PHENOLICS <br /> 40.1 V0A VIAL TRA <br /> 40.1 VOA VIAL <br /> T EPA 413-1,413.2.418.1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40.1 VOA VIAL 504 <br /> T EPA 508160818080. - <br /> T EPA.515-118150 <br /> T EPA 525 <br /> QT EPA 525 TRAVEL BLANK <br /> 100.1 EPA 547 <br /> 100.1 EPA 531.1 <br /> T EPA 54B <br /> T EPA 549 <br /> T EPA 632 <br /> T EPA 8015M <br /> 7 AMBER <br /> 8 02 JAR <br /> 32 OZ 3AA <br /> SOIL SLEEVE <br /> PCH VIAL - <br /> I'LA571C <br /> FERROUS IRON <br /> ENCORE' <br /> Comments: .. <br /> Sample Numbering Completed By: DalelTime: <br /> A=Actual I C=Corrected - IH:IDOCSIWP90\LAB_DOCSIFORMSISAMREC2.WP01 <br />