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8C LABORATORIES INC. —07 SAMPLE RECEIPT FORM Rev.No.12 06/24108 Page I Of <br /> Submission#: <br /> HIPPING INFORMATION SKIPPING CONTAINER <br /> Federal Express I UPS ❑ Hand Delivery ❑ Ice Chest— None ❑ <br /> EIC Lab Field Service 0 Other 0(Specify) Sox ❑ Other ❑ (Specify) <br /> Refrigeraslt: Icef& Blue Ice❑ None❑ Other❑ Comments: <br /> Custody SealsIce Chest D Containers❑ None j Comments: <br /> intact?Yes 0 N-10 Intact?Yes 0No 1 <br /> All samples received? Yes No O All samples containers intact? Yes moo Description(s)match COC? Yeii6No ❑ <br /> COC Received Emissivity: {7� Container: V ThermometeriD:' VS DateMme Ital No-2-5 <br /> YES ❑ NO <br /> Temperature:A _d�� .73 °C / C Zk-• C Analyst Init n)� <br /> SAMPLE NUMBERS <br /> ' SAMPLE CONTAINERS 1 2 1 4 5 6 2 a s o <br /> QT GENERAL MINERAL!GENERAL PHYSICAL <br /> PT PF UNPRESERVED <br /> ' T INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> ' PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2oz.NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> 40mi VOA VIAL TRAVEL BLANK <br /> 40m1 VOA VIAL <br /> T EPA 413.1 413.2.418.1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL-504 <br /> T EPA 508/60818080 <br /> T EPA 515.1/8150 <br /> TEPA 525 <br /> T EPA 525 TRAVEL BLANK <br /> I00mI EPA 547 <br /> I00m1 EPA 531.1 <br /> T EPA 548 <br /> T EPA 549 <br /> T EPA 632 <br /> ' T EPA 8015M <br /> T AMBER <br /> V07- <br /> ' <br /> VE <br /> AG <br /> QIIERROUS IRON <br /> ENCORE <br /> Comments: <br /> Sample Numbering Completed Fay: Date/Time: <br /> A=Actual / C CorrectedIH:kDOCSIWPao\LA8_DOCSIFORMS%SAMREC2.WPDI <br />