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BC s ABOPATORIES INC. SAMPLE RECEIPT FORM Rev.No. '2 06/24/08 Page <br /> 04 <br /> Submission 14: 0 <br /> SHIPPING INFORMATION <br /> SHIPPINIG CONTAINEIR <br /> Federal Express Ej UPS 0 Hand Delivery Ice Chestf, None 0 <br /> BC Lab Field Service 0 ..Other 0 (Specify) Box 0 Other 0 (Specify)_ <br /> Refrigerant: Ice Blue Ice 0 None El Other 0 Comments: <br /> Custody Seals Ice Chest 0 Containers 0 None 9 Comments: <br /> I Intact?Yes 0 NF.01 1 Intact?Yes 0 No 0 1 <br /> All samples received? Yes,< No o All samples containers intact? Yes X No 0 Description(s)match COC? Yez No 0 <br /> COC Received Emissivity: Sqg— Container: Thermometer ID: I U Date/Time <br /> EJ <br /> �6YES NO <br /> Temperature:A -C C C Date/Time <br /> Init eDL-T <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS 2 1 4 6' 7 a s 10 <br /> QT GENERAL MINERAL/GENERAL PHYSICAL <br /> PT PE UNPRESERITED <br /> [QT INORGANIC CHUMICAJ-METALS <br /> PT INORG.kNIC CHEN11CAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FOR IS <br /> ------------I---- <br /> PT TOTAL SULFIDE <br /> 12oz.NITRATE/NITPJTE <br /> PT TOTAL ORGANIC CARBON <br /> PT TON <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> 40M- 1 V0A\qAL Tk�,.,"EPL BLAJNK <br /> 4 0 1 V 0L <br /> J <br /> 1OT EPA413.1—=13.-- <br /> LPT ODOP <br /> 1 B C E�U 0 L OG]CA L <br /> Vo <br /> iOT EPA 508i,<08/8080 <br /> ,Q71 EPA515.1/31,51t: <br /> LOT EPA 52; <br /> OT EPA 525 TPLAVEL BLANK <br /> 1-1-00ml EPA 547 <br /> �110)0rmal EPA 531.1___ <br /> QT EPA 5, <br /> EPA 5 <br /> ................... <br /> OT EPA 549 <br /> I OT EPA.63 1 <br /> QT EPA 801;,~9 <br /> T AMBER <br /> 0(J Z.J <br /> T <br /> i OiLSU ' <br /> 1:-:L:1STi2CB.iG <br /> [L:k:.RROL;S 1-,0--, <br /> E IN C 0 Rz <br /> elied <br />