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UBC LA.BORA70RIES INc. S� fMPLE RECEIPT FORM Rev. No. 12 06/24/08 Page eOf <br />ubmission#: <br />SNIPPING INFORMATION SHIPPING CONTAINER <br />Federal Express ❑ UPS ❑ Nand Delivery ❑ Ice Chest None ❑ <br />BC Lab Field Service Other ❑ (Specify} Box ❑ Other ❑ (Specify} <br />Refrigerant: ice l Blue Ice ❑ None ❑ Other ❑ Comments: <br />�ustody SeaISM GF%estt®, t ��orii �e€s, }}� Done Q)Comments: <br />Ail samples received? Yes No D All samples containers intact? Yes Ho ❑ Description(s) match COC? Yes No ❑ <br />as �v <br />C Received Emissivity: O G� Container: rye Thermometer !D: TY1\793 Date/Time-?-r- <br />xyES ❑ NO C Analyst Init <br />Temperature: A 1 ��� °C / C 7 °C Y �t1�1li <br />SA <br />SAMPLE CONTAINERS 1 2 3 4 5 6 7 6 s 10 <br />OT GENERAL MINERAU GENERAL PHYSICAL <br />PT PE UNPRESERPEII <br />OT INORGANIC CHEMICAL METALS <br />PT INORGANIC CHEMICAL METALS <br />PT CYANIDE <br />PT NITROGEN Fo"ISEli <br />.. <br />Y7: TOTAL SULFIDE_.: <br />of AgTRA Tr . P 141TR1TE <br />PT-TOTA1,_.MGAMC CARBOIt . ' <br />-T TOX <br />%;TI-nMEMICA1, :OXY.GEN DEMAi<L1 - " — <br />F IX PHiNQ, L]Cs <br />aoml voA ®�1AL TRAVEL B ANx �� <br />a0�1 N'OA vui <br />_ <br />tOT EPA 413.1: 433.3, 418.1 <br />FT-0D0R.:f `. ;.. .. <br />I-ILD;;oLoraL <br />BAC."iEAtO1rOGICA�L - <br />40 ml 110A VIAL; 504 <br />OT EPA 508/608/8080 <br />T EPA 515.1/8150 <br />OT EPA 525 <br />OT EPA 525 TRAVEL BLANX <br />100no1EPA 547 <br />100nn1 EPA 53 1. 1 <br />T EPA 548 <br />OT EPA 549 <br />OT EPA 632 <br />T EPA 8015M <br />T AMBER <br />80ZJAR <br />32 OZ JAR <br />SOIL SLEEVE <br />PCB VIAL <br />PLASTIC BAG <br />FERROUS IRON f <br />to <br />ENCORE <br />Comments: <br />Sample Numbering Completed By: \t Date/Time: �. <br />A = Actual / C = Corrected pi:%COCS%WP8D\LAB DOCS%FORMS%SAMREC2.WPDI <br />