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BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev.No.12 06/24/08 Page C� Of S <br /> Submission #: c)- L3 <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Express ❑ UPS ❑ Hand Delivery ❑ Ice Chest None ❑ <br /> SC Lab Field Service If Other ❑ (Specify) Box ❑ Other ❑.(Specify) <br /> Refrigerant: Ice a Blue Ice❑ None❑ Other❑ Comments: <br /> Custody Seals Ice Chest O Containers O None D Comments: <br /> Intact?Yes D NOD Intact?Yes D No O <br /> All samples.received? Yes No❑ All samples containers intact? Yews t ,.NNo O Description(s)match COC? Yes No ❑ <br /> COC Received Emissivity: Q Container: trrsp- .Thermometer ID: (� Date/Time � 25 <br /> i YES ❑ NO �- <br /> Temperature:A 0.� °C I C �-� °C Analyst tnit�Ihl <br /> SAMP <br /> SAMPLE CONTAINERS 1 2 4 >-6 6 7 B 9 to <br /> OT GENERAL MINERALI GENERAL PHYSICAL <br /> PT PE INPRESERVED <br /> T INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2.z NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT TON <br /> PT CHEMICAL OXYGEN DEMAND <br /> PIA PHENOLICS <br /> 40.1 VOA VIAL TRAVEL BLANK <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 508/608/8080.. - <br /> TEPA515.1/8750 <br /> T EPA 525 <br /> T EPA 525 TRAVEL BLANK <br /> 100.1 EPA 547 <br /> 100.1 EPA 531.1 <br /> T EPA 548 <br /> T EPA 549 <br /> T EPA 632 <br /> T EPA 8015M <br /> QTAMBER <br /> 8 0Z JAR <br /> 32 OZ JAR <br /> SOILSLEEVE <br /> PCB VIAL <br /> PLASTIC BAG - --- ---- <br /> FERROUS IRON <br /> ENCORE <br /> - <br /> Comments: <br /> Sample Numbering Completed By: Daterrime: - <br /> A=Actual / C=Corrected IH:\DOCS\WP00\LAB DOCSIFORMSISAMREC2.WPDl <br />