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BC LABORATORIES INC. COOLER RECEIPT FORM Rev.No. 15 07/01113 Page—1 Of <br /> Submission #: yiae <br /> SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br /> Federal Express ❑ UPS Cl Hand Delivery Ice Chest None ❑ Box ❑ YES ❑ NO ❑ <br /> BC Lab Field Service Other❑ !Specify) Other ❑ (Specify) <br /> Refrigerant: Ice I? Blue Ice ❑ None ❑ Other ❑ Comments: <br /> Custody Seals ice Chest � Containers C None Comments: <br /> - i <br /> All samples received? Ye No❑ All samples containers intact? Yes No❑ Description(s)match COC? Yes❑ No <br /> COC Received Emissivity: AT Container: ht PjF Thermometer ID: 20-7 Datelrime 7 4 /3 2J'10 <br /> DYES ❑ NO Temperature: I A) 1.2 °C I I C i 1.3 __ °C Analyst Init SAk5 <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> 1 2 3 4 6 6 7 8 9 70 <br /> T GENERAL MPaMAU GENERAL <br /> PT PE UNPRNJSERVED <br /> OT IN RGAMC CHEMICAL METALS <br /> PTIiORGANIC CHEMICAI7 n4E`I ALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> I <br /> 24m NITRATE!NITRITE <br /> PT TOTAL ORGAMC CARBON <br /> PT TOX <br /> PT CHMUCAL OXYGEN DEMAND <br /> RA PnENOLICS <br /> 40ml VOA VIAL TRAVEL BLANK I <br /> 40ml VOA VIAL <br /> T EPA 413.1 413.2 418.1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 mi VOA VIAL-504 <br /> EPA 5081608/8080 <br /> EPA 515.118150 <br /> T EPA 525 <br /> T EPA 525 TRAVEL BLANK <br /> 100m]EPA 547 <br /> • I <br /> 100m1 EPA 531.1 <br /> T EPA 548 <br /> T EPA 549 <br /> T EPA 632 <br /> T EPA 8015X3 <br /> T AMBER �+r+6 <br /> 8 OZ.JAR <br /> _ 2 Q <br /> 32 OZ.JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> FERROUS IRON <br /> ENCORE <br /> SMART1UT <br /> Summa Canister . <br /> ;omments: Ila Lf Ili E7 f/H t <br /> Sample Numbering Completed By: &49- — DateMme: '71 fbij-3rL-1"L��� <br /> 'A = Actual 1 C = Corrected [S:\MVDOCSIWordPertectlLA6_9OCSIFORMSISAMRE0191 <br />