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F3C t�Bo as oR3ES IS1C_ SAMPLE RECEIPT FORMr.F,,.No. 2 0612, Page —__--- <br /> 'ubmission 4: 1G O\lv j "2- <br /> j <br /> SI'IPPING CONTAINER <br /> sHIPPING INFOI=tMATION Nene � <br /> Federal Express E) UPS O Nand Delivery O ice Chesi3O' <br /> BC Lab Field Ser,/ice#I Other❑(Specify) <br /> !3ox 11 Other ❑ (Specify) <br /> Refrigerant: IceX Blue Ice❑ Mone❑ other 0 Comments: <br /> Custody Seals F77ice%Fi--'-0 Containers� llone� Comments: <br /> intact?Yes q No 0 Intact?=.Yes.ONo. <br /> All samples received? Yes No O All samples containers intact? Yes No O Description(s)match COC? Yes No ❑ <br /> i <br /> OeC09VC Emi /iS ontaYn Thermometer ID:T , fib& Da[eRime f <br /> C <br /> N Analyst Init <br /> ` � Temperature:A ') ° °C I C ° <br /> SAMPLE CONTAINERS z 3 4 5 s 7 a ( s to <br /> QT GENERAL MINE Ll GENERAL PI;YSICAL (A1 <br /> + 11%11) - <br /> PT PE 11NPRESERVED <br /> T GIORGAMC CIU,:MC4L NiETA-LS <br /> PT rNORGATAC MEMICAL W1ETA L S <br /> I I I <br /> PT CYANID£ I <br /> PT MTROGEN Foftms <br /> PT TOTA! SUI Ftn'. <br /> 2oz MTRATE/MTSLITE _- <br /> { t <br /> PT TOTAL ORG.J f1C C-'ZBO1'1 ._ <br /> Ah I <br /> I P T TOX --- <br /> ---- <br /> PTCLIMCALO;CfGEr,!DLW APM I l I <br /> I <br /> P,A PHENOLICS —_-------- ---��--- <br /> I?OmIVOA V1.46,TRAV1;1_.feif;C-.---.---- '1 ! — -------- <br /> _ t ---- -- <br /> 40.1 VOA yLe,t- I----- ------- <br /> � t <br /> t <br /> t <br /> ---------- <br /> O"I'E PA.4 t 1.t a t 1. -t i 8.i -----:---- - — -- <br /> r � <br /> I <br /> PT ODOR I - <br /> y <br /> BACTE?1OLOGIC.-�,:. __----.------ 1 _ <br /> 40 mlVOA tiLkL-50! ---Et—.. ---� ---- - <br /> OT EPA 500/608/8080 _._..---------------> ----- <br /> !-- �=z�i <br /> OT EPA 515.1/8150 _. <br /> ------------- <br /> -- --' -� -----1----� <br /> OT.':PA 525 -- <br /> T EPA 525 TRA`JEL BI_1 - <br /> 100ml EPA_547 <br /> 100m1 EPA 531.1_—_.-_-.----_-_-- <br /> UT EPA 548 <br /> OT EPA 5a9 <br /> T EPA 632 <br /> OT EPA 8015rri <br /> OT AMBER <br /> 8 O!JAR <br /> 32 OZ.,IAR <br /> SOIL SLEEF�- <br /> PLASTIC EAG - ---------- -------- — <br /> FERROUS IROiv <br /> 3 EN,-ORS', <br /> _.— I <br />