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BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev.No.12 D6/24108 Page Of <br /> Submission#: M- W <br /> IU5 I I <br /> SH!IPPING INFORMATION SHIPPING CONTAINER <br /> BC' <br /> Su <br /> eral Express UPS 0 Hand Delivery 0 Ice Chest None 0 <br /> Lab Field Service 0 Other 0(Specify) Box 0 Other 0 (Specify) <br /> Refrigerant: Ice B----Blue Ice 0 None 0 Other El Comments: <br /> y Seats Ice Chest Containers None 0 Comments: <br /> Custody <br /> !! I Intact�?Yes 11 None <br /> Yes 0 No 0 1 <br /> All samples received? YesYes/ No 0 <br /> .JA No o All samples containers intact? Yese No 0 Description(s)match COC? <br /> COC Received Emissivity: -<rAE� Conta2��ermometerll)mkAU,5 DateMme Oh to-60 <br /> 0 NO Temperature:A_ -C I C a'�---- -C Analyst snit <br /> SAMELE HUMUffil— <br /> SAMPLE CONTAINERS 2 3 4 7 8 <br /> OT GENERAL MINERAL/GENERAL PHYSICAL <br /> PT PE UNPRESERVFD <br /> 2T INORGANIC CHEMICAL KETALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2"NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT TOX <br /> PT CHEMICAL OXYGEN REMAND <br /> PHENOLICS <br /> 0 <br /> T <br /> AT <br /> EFA V <br /> V <br /> P <br /> ODOR <br /> T0 <br /> 0 <br /> A <br /> E <br /> )I <br /> 40_I V <br /> L <br /> 3 <br /> P <br /> T <br /> T <br /> T <br /> T <br /> TGENERAL <br /> P <br /> I <br /> CN <br /> N <br /> PT N <br /> E <br /> Y <br /> 0 <br /> IT <br /> A <br /> R <br /> R <br /> R <br /> E <br /> N <br /> INORGANIC <br /> 0 E <br /> A <br /> GA <br /> P <br /> A <br /> D <br /> PT TOTAL S <br /> _ I T <br /> 2 1 <br /> SAMPLE <br /> A <br /> PT To 7AL C <br /> PT'FOX <br /> PT C r <br /> H�MIC <br /> PHENOLICS <br /> I VOA VIAL TRAVEL_BLANK <br /> I VOA VIAL <br /> EPA413.1,413,2�418.1 <br /> ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIA/-504 <br /> C <br /> 0 T P <br /> T EPA 508/60&SOSO <br /> E <br /> Q T <br /> T Va A 515.1/8150 <br /> T E r <br /> QT EPA 525 <br /> E <br /> 1. P <br /> OTEPA$25 TRAVEL BLANK <br /> 100., '1 <br /> 100mi EPA 547 <br /> 100mi EPA 531.1 <br /> W EPA 548 <br /> OT EPA 549 <br /> OT EPA 632 <br /> �a EPA 8015M <br /> OT AMBER <br /> 8 Q JAR <br /> 32 OZ,JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIg <br /> ,a I NEERROUS IRON <br /> coRE <br /> Comments: <br /> Sample Numbering Completed By: W DatelTime: 1%:9 la U21 J,5 LIco <br /> A=Actual I C=Corrected Ot,%DCCSIVVP801LAS_DOGSWORMSISAMREC2.WPDI <br />