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6C LABORATORIFAWf, SAMPLE RECEIPT FORM Rev.No.12 06124108 .Page I Of <br /> Submi Sion#: <br /> SHIPPING INFORMATION HIPPING CONTAINER <br /> Federal ExpressUPS 0 Hand Delivery 0 lee Chest None 0 <br /> i BC Lab Field - ere 0 Other 11(Specify) Box Other 0(Specify) <br /> Refrigerant: lee Blue Ice 0 None 0 Other 0 Comments: <br /> Non 0 Comments: <br /> Custody Sealskkil <br /> All samples received? Yes No All samples containers intact? Yes NOD Description(s)match COC? Yes/No U <br /> COC Received Emissivity: Container: <br /> Thermometer!D- 4AkU3 Dateffirne�LA-24A <br /> '*ES El N C <br /> 0 Temperature:A 'C I C Analyst tnit <br /> SAMP - <br /> SAMPLE CONTAINERS 1 2 3 4 S 6 1 8 9 10 <br /> QT GENERAL MINERAU GENERAL PHYSICAL <br /> APT PE UNTPRESERVED <br /> NOT INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDF <br /> PT NITROGEN FORMS <br /> MPTTOTAL SU FME <br /> ,r,..-N,T.-A., NITRITE <br /> 19PT TOTAL ORGANIC CARBON <br /> FT TOX <br /> FT CHEMICAL OXYGEN DEMAND <br /> 14-P1A PHLNQLICS E Il <br /> 40m)VOA VIAL TRAVEL BLANK <br /> Qml VOA VIAL <br /> 10TEPA413.1.413.2,418.1 <br /> rf 001308 <br /> BAC'TERIOLOG 1 <br /> 40 int VOA VIAL,94 <br /> QT EPA 508160818080 <br /> !2T EPA 515.1/8150 <br /> OT EPA 525 <br /> QT EPA 525 TRAVEL BLANK <br /> 100ml EPA 547 <br /> IONW EPA 531.1 <br /> I OT EPA 548 <br /> QT EPA 549 <br /> QT EPA 632 <br /> QT EPA 80 ISM <br /> QT AMBER <br /> 3 07-,JAR <br /> 32 07.JAR <br /> CAI, <br /> '94 <br /> 0 <br /> IdAI)TOLOGICAL <br /> TRAVEL <br /> _L BLAM.NK <br /> SOIL SLEEVE <br /> FCB VIAL <br /> PLASTIC BAG <br /> IFERROUSIRON <br /> ENCORE 2 <br /> Comments: <br /> Sample Numbering Completed By: -KII <br /> A=Actual I C=Corrected I ....DOCS-%WPBOILAO-DOCS%FORMSSSAMRECLWPM <br />