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BC LABORATORIES INC. q 4Q SAMPLE RECEIPT FORM Rev.No.12 W24108 Pae Of <br /> Submission#12vix" 71 --T- <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Express 0 UPS 0 Hand Delivery 0 lee ChestW None 0 <br /> BC Lab Field Service 0 Other 0(Specify) Box 0 Other 0(Specify) <br /> Refrigerant: Ice's Blue Ice D None 0 Other 0 Comments: <br /> Custody Seals lee Chest 0 Containers 0 None ISO Comments: <br /> Intact?Yes 0 N-1 I Inta,et?Yes I Q No 0 <br /> A <br /> All samples received? Yes: No No All samples containers intact? Ye 9 NoD Description(s)match COC? Ye No 0 <br /> COC Received I <br /> YES 0 No Emissivity: .4!2aContainer: OCA Thermometerll):4ieb Date[Time Et <br /> Temperature:A 0 > Ic 1 C (0.S - Ic Analyst Init 0—T <br /> SA LF NIJMRFRS <br /> SAMPLE CONTAINERS l p 3 4 S s 7 s 9 <br /> to <br /> OT GENERAL MINERAL!GENERAL PHYSICAL <br /> PT PE UNPRESERVED <br /> OT INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITR2.CEN FORMS <br /> PT TOTAL SULFIDE <br /> loz.NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS A r <br /> 40ad VOA VIAL TRAVEL BLANK I A I A <br /> 40ml VOA VIAL IN(51-Rb) t 1h h b, <br /> Or EPA 413.1 111*'—118.1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL-504 <br /> OT EPA 508/608/8080 <br /> QTEPA 515.118150 <br /> OT EPA 525 <br /> OT EPA 525 IRAVEL BLANK <br /> 100ml EPA 547 <br /> 100ml EPA 531.1 <br /> OT EPA 548 <br /> OT EPA 549 <br /> OT EPA 632 <br /> EPA 8015 <br /> QT;6MBER <br /> 8 OZ.JAR <br /> 32 OZ.JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC RAG <br /> 1IrERROUSIRON <br /> 1 ENCORE <br /> Comments: <br /> Sample Numbering Completed By: Date1Time:.0i,kwAbtv <br /> A=Actual I C=Corrected (H.VMSIWPSOU-AB_DOCSkFORMMAMRECZViPD] <br />