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BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev. No. 12 06/24/08 Page � Of� <br />Submission #: 10—mo--c. <br />SNIPPING INFORMATION SKIPPING CONTAINER <br />Federal Express ❑ UPS ❑ Hand Delivery ❑ Ice Chesty None ❑ <br />BC Lab Field Service C I Other ❑ (Specify) Box ❑ Other ❑ (Specify) <br />Refrigerant: lcebJ Blue Ice ❑ None ❑ <br />Other ❑ Comments: <br />Custody Seals <br />Oce -Chest (7 <br />Containers Q <br />None Comments: <br />-lntaat? Yes : No- - <br />Intact?xiYss O =No ❑ <br />All samples received? Yes No ❑ <br />S <br />All samples containers intact? Yes Moo Description(s) match COC? Yes <br />No C3COC <br />Received <br />Emissivity: O <br />Container: Thermometer IMMIko <br />� <br />Daterrime"jY %`7 q <br />❑ NO <br />J ` °C �_ °C <br />Analyst lnit%� <br />1XNES <br />Temperature: A <br />/ C I <br />SAMPLEAUMBERS <br />SAMPLE CONTAINERS I 2 a a 6 6 7 8 a 10 <br />QT GENERAL MINERALI GENERAL PHYSICAL <br />PT PE UNPRESERVED <br />T INORGANIC CHEMICAL METALS <br />PT INORGANIC CHEMICAL METALS <br />PT CYANIDE <br />PT NITROGEN FORMS <br />PT TOTAL SULFIDE <br />2oz. NITRATE / NITRITE <br />PT TOTAL ORGANIC CARBON <br />PT TOX <br />PT CHEMICAL OXYGEN DEMAND <br />PtA PHENOLICS <br />40ml VOA VIAL TRAVEL BLANK <br />40mI VOA VIAL <br />T EPA 413.1 413.2 418.1 <br />PT ODOR <br />RADIOLOGICAL <br />BACTERIOLOGICAL <br />40 ml VOA VIAL. 504 <br />T EPA 508/608/8080 <br />T EPA 515.1/8150 <br />T EPA 525 <br />T EPA 525 TRAVEL BLANK <br />100ml EPA 547 <br />100ml EPA 531.1 <br />T EPA 548 <br />T EPA 549 <br />T EPA 632 <br />T EPA 801a'M <br />T AMBER <br />8 OZ JAR <br />32 OZ JAR <br />SOIL SLEEVE <br />PCB VIAL <br />PLASTIC BAG <br />FERROUS [RON <br />ENCORE <br />Comments: <br />Sample Numbering Completed By: it) Date/Time: '2-M <br />�Ci l <br />A = Actual i C = Corrected [HaDOCSIWPBBILAB_DOCS%FORMSiSAMREC2.WPDI <br />• <br />• <br />• <br />