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BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev.No.12 06124108 Page-L Of-I <br /> Submission #: <br /> SHIPPING INFORMATION )SHIPPING CONTAINER <br /> Federal Express 0 UPS D Hand Delivery 0 Ice Chest)D None 0 <br /> BC Lab Field Service 0 Other 0(Specify) Box 0 Other 0(Specify) <br /> Refrigerant: Ice Blue Ice 0 None 0 Other 0 Comments: <br /> Custody Sealsc6e Idfi6si C1 Containers 0 None Comments: <br /> C <br /> [I n6cil`Ye'$*-�No [,C.,ot?-Yes 0 No 01 <br /> All samples received? Yes n, Noo All samples containers intact? Yes Noo Description(s)match COC? Yes z No 0 <br /> IL <br /> ,COC Received Emissivity: Container: Thermometer ID: Daterrime <br /> YES 0 NO Temperature:A c-,"A -C C CS,q c Analyst!nit <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS 1 2 3 4 5. 6 7 <br /> CIT GENERAL MINERALI GENERAL PHYSICAL <br /> -PT PE UNPRESERVED <br /> OT INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2o7-NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> 40m1 VOA VIAL TRAVEL BLANK <br /> 40xai VOA VIAL <br /> OT EPA 413.1.413.2,418.1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL,504 <br /> QT EPA 5081608/8080 <br /> QT EPA 515.1/8]50 <br /> QT EPA 525 <br /> QT EPA 525 TRAVEL BLANK <br /> 100m1 EPA 547 <br /> 1 00ml EPA 531.1 <br /> OT EPA 548 <br /> OT EPA 549 <br /> QT EPA 632 <br /> OT EPA 8015M <br /> QT AMBER <br /> 8 OL JAR <br /> 32 OZ.JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> FERROUS IRON <br /> ENCORE <br /> Comments: <br /> Sample Numbering Completed By: <br /> A=Actual I C=Corrected [H.IDOCSIWPBCILAB_DOCSIFORMS%SAMREC2.WPDI <br />