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C LABORATORIES INC. SAMPLE RECEIPT FORM Rev.No.10 01/21/04 Page Of_ <br /> Submission q– 0 Project Code: I TB Batch # <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> ederal Express-6- UPS❑ Hand Delivery ❑ Ice Chest'] None ❑ <br /> BC Lab Field Service ❑ Other❑ (Specify) Box ❑ Other ❑(Specify) <br /> efrigerant: Ice n' Blue Ice❑ None❑ Other❑ Comments: <br /> ustody Seals z t❑ :' Contains ❑ NonOO Comments: <br /> All samples received? Ye srt No❑ All samples containers intact? No❑ Description(s)match CO ? Y o ❑ <br /> COC Received Ice Chest ID S Emissivity Date/Time' I <br /> Temperature: C Container <br /> YES ❑ NO Thermometer ID. a- -"t. Analyst Init `. <br /> SAMPLE UMBERS <br /> SAMPLE CONTAINERS 1 2 3 4 1 5 s 7 8 9 10 <br /> QT GENERAL MINERAL/GENERAL PHYSICAL <br /> T PE UNPRESERVED <br /> INORGANIC CHEMICAL METALS <br /> INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> NITROGEN FORMS <br /> TOTAL SULFIDE <br /> 2oz.NITRATE/NITRITE <br /> ml TOTAL ORGANIC CARBON <br /> TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PHENOLICS <br /> ml VOA VIAL TRAVEL BLANK g <br /> 40ml VOA VIAL l (3A( ) 3 ) t� 3- <br /> EPA <br /> EPA 413.1 413.2 418.1 <br /> ODOR <br /> RADIOLOGICAL <br /> CTERIOLOGICAL <br /> ml VOA VIAL-504 <br /> T EPA 508/608/8080 <br /> EPA 515.1/8150 <br /> EPA 525 <br /> T EPA 525 TRAVEL BLANK <br /> ml EPA 547 <br /> ml EPA 531.1 <br /> T EPA 548 <br /> EPA 549 <br /> EPA 632 <br /> EPA 8015M <br /> T <br /> QA/QC <br /> AMBER <br /> Z.JAR <br /> 32 OZ.JAR <br /> IL SLEEVE <br /> B VIAL <br /> PLASTIC BAG <br /> RROUS IRON <br /> CORE <br /> fments: <br /> ple Numbering Completed By: �,� Date/Time: <br /> IH:\DOCS\WP80\LAB_DOCS\FORMS\SAMREC2 AJPf){ <br />