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C <br />C <br />BG L ABOP ATONIES INC. <br />SAMPLE RECEIPT FORM Rev. No. 12 06/24/08 Page <br />_ <br />Si-lbrraiss�_ l - ✓<<y. <br />_�`"; <br />J' <br />-SHIPPING lila 1�?l�is� T ION SHIPPING CONTAINER <br />Federal ---;,press ❑ 11�'S ❑ <br />Hand Delivery ❑ ice Ohes: L9 Ilene ❑ <br />BC Lab Field Seriice CJ Other <br />❑ (Specify] Box ❑ Other ❑ (Speciiy) <br />Refrigerant: lceX, Blue ice ❑ done ❑ Other ❑ Comments: — <br />Custody Seam <br />iC2 s>ii2Si'❑ <br />OriialrierS Cl <br />[in <br />i`lorl� Comments: <br />lniact?.Yes No B <br />tact?'.Ye b -No. O <br />All samples received? Yes i Io O <br />All samples containers intact? Yes INo ❑ Description(s) match COC? Yes hJo ❑ <br />1;�%; �I;OilVei( <br />Emi i iiy: - U ontaa n� . - ! Thermometer lD: !: j l� DatelTime / / 1"G. <br />^YES ❑ NO <br />2 � '^ <br />Temperature: A ')� °C I C 1Ci C Analyst init <br />SAMPLE NUJ64BFR5 <br />SAMPLE CONTAINERS <br />' 2 3 a s s 7 s 1 I to <br />QT GENERAL MINERAL/ GENERAL PHYSICAL <br />PT PE UNPRESERYED <br />T BNORGAMC CHEDiHCAi METALS <br />PT INORGANIC CIMMICAL METALS <br />PT CY. N(DE <br />— <br />— <br />PT (NITROGEN FORMS <br />PT TOTAL SII? FIDE <br />I <br />! <br />20 (NITRATE I N1 ITUTL- <br />PT TOTAL ORG/uD.0PT TOX <br />GEN iahL1t_F1 <br />1 <br />PT CIIENUCAL 0'•.^3 <br />PIA P HLNOLICS <br />40cil YOA YLA.L TRAVEL ;L V`i'i,---,-_---- <br />40ml Vo._. VI <br />-----I <br />- <br />-- <br />-- ---- <br />--- <br />O"C APA 113.1,413.1 <br />PT DP,0 <br />---r <br />----I <br />�- <br />I <br />L— 1 <br />--� <br />1,IOLOGICAI __. <br />-- -----� <br />--- <br />Cil PA 50S/6110/G1i30 <br />- <br />OT EPA 521--- <br />- <br />I' EPA 525 TRAVEL EL BL -VI s <br />100m1 EPA 3.17- <br />100m1EPA 531.1_._R. <br />OT EPA 548 <br />OT EPA 54')— <br />QT EPA 633 <br />OT iiPA oGi5 +4 <br />OT.AkIBER --- <br />---- <br />! <br />I---- <br />-- <br />---- <br />(� <br />�- <br />__—�,--- <br />8 OZ JAR _ <br />32 <br />SOIL SLEEVE <br />-- <br />I <br />E —I <br />I -i <br />--._----------j�— <br />PLASIC£_G <br />FERROUS [ROP( <br />i,ornment3: 1 l -_—.-- <br />,. _ I s <br />SamoIe ,'•Jtemir�rr,�rl .�o , �l -d � ����, il��teli:�,i,. <br />_ ..._ <br />6_ OCa . <br />�. _ _1cival I C' - or,1, <br />