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BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev.No.12 06/24/08 page L Of <br /> Submission '#: <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Express 0 UPS 0 Hand Delivery 0 Ice Chest 0 None 0 <br /> BC Lab Field Service 1P Other 0 (Specify)_ Box 0 Other 0 (Specify) <br /> Refrigerant: IcdW Blue Ice 0 None 0 Other 0 Comments: <br /> Custody Seals Ice Chest 0 Containers 0 None)' Comments: <br /> I intact?Yes 0 No 0Yes.0 No 0 <br /> All samples received? YesJ6 No All samples containers intact? Yes) No 0 Description(s)match COC? Yes No D <br /> C C Received Emissivity:Q-LfbContalner:Q25 Thermometer ID:TBI Dateffime/ <br /> ES 0 NOAnalvst ln`l�t-- oc <br /> FY Temperature:A 9— -(0 - --c I c -c <br /> $A 111M <br /> SAMPLE CONTAINERS 2 3 4 5 6 7 e s 10 <br /> OT GENERAL MINERAU GENERAL PHYSICAL <br /> PT PE UNPRESERVED <br /> OT INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FO R.NIS <br /> PT TOTAL SULFIDE <br /> 2oz.NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT TOX <br /> PT CHEMICAL OXYGEN <br /> PtA PHENOLICS <br /> 40m1 VOA VIAL TRAVEL B <br /> 40mi VOA-VIAL <br /> OT EPA 413.1-413.2-41,33 <br /> PT ODOR-- <br /> I-PADIOLOGICAL - <br /> BACTERIOLOGICAL <br /> t0 ml VOA VIAL-504 <br /> OT EPA 508/608/8030 <br /> QT EPA 515.1/8150 <br /> QT EPA 525 <br /> OT EPA 525 TRAVEL BLANK <br /> 100m1 EP 547 <br /> 100ml EPA 531.1 <br /> QT EPA 548 <br /> QT EPA 549 <br /> OT EPA 632 <br /> QT EPA <br /> 2T AIMEE" <br /> 8 oz.JAR <br /> 32 OZ.JAR <br /> SOIL SUCIL"i: <br /> PCB VIAL <br /> PLASTIC BAG <br /> FERROUS IRON <br /> Comments: > <br /> Sample Numbering Completed BY; Date;i rr,e: ICC T�� f 11:kDO C SV01P-MLAD-DO SNF��,-,11.1 S,3:-1M�R HC 2.1i",P 7iA=Actu-al j f-'=Corrected <br />