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BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev.No. 10 01/21/04 Page _A_Of <br /> Submission #: Project Code: I TB Batch # <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Express-4 UPS❑ Hand Delivery ❑ Ice Chest None ❑ <br /> BC Lab Field Service ❑ Other❑ (Specify) Box ❑ Other ❑ (Specify) <br /> Refrigerant: Ic Blue Ice ❑ None ❑ Other ❑ Comments: <br /> Custody Seals-1 <br /> eals: Ice Chest❑ Containers ❑ None k Comments: <br /> Intact?Yes n No ni <br /> Ali samples received? Ye No❑ AN samples containers intact? No❑ Description(s)match COC? ❑`No ❑ <br /> COC Received Ice Chest ID Emissivity C Datefl'ane <br /> YES El NO <br /> TemperatuarmometgE re:° C Container Analyst Init � <br /> SAMPLE CONTAINERS 1 2 3 4 1 6 6 7 8 9 10 <br /> OT GENERAL MINERAL/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 /> 2oL NITRATE/NITRITE <br /> 100mI TOTAL ORGANIC CARBON <br /> TTOX <br /> PT CHEMICAL OXYGEN D RAND <br /> PIA PHENOLICS <br /> VOA VIAL TRAVEL BLANK <br /> 40MI VOA VIAL 2, <br /> 1 S dS d . l 9 ! t d t <br /> T EPA 413.1,413.2,41&1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ail VOA VIAL-504 <br /> QT EPA 508/608/8080 <br /> T EPA 515.VS150 <br /> T EPA-525 <br /> T EPA$25 TRAVEL BLANK <br /> 100mI EPA 547 <br /> 100mi EPA 531.1 <br /> QT EPA 548 <br /> OT EPA 549 <br /> T EPA 632 <br /> T EPA 8015M <br /> T A C <br /> QT <br /> AMBER <br /> 8 OZ.JAR <br /> 32 07 JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> LTERROi1S IRON <br /> ENCORE <br /> Comments: 77 <br /> Sample Numbering Completed By: L DateMme: 1 Ll I <br /> lFl:I00CSIWP801tA8 DOCStfORdAS15AAAAECZ.WPDI <br />