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SAMPLE RECEIPT FORM Rev,No. 12 06/24108 Page j Of j <br /> BC I-MORATORIES INC. - <br /> [Submission V <br /> IPPING INFORMATION 1 <br /> HIPPING CONTAINER <br /> None 0 <br /> Hand Delivery 0 lee Chest?,Federal Express UPS DBox Cl Other 0(Specify)— <br /> BC Lab Field ServTce 0 Other C (Specify)— <br /> N o=ne[I' OtheT 0 Comments: <br /> Ice CD <br /> Ice Chest 0 Containers 0 None Comments: <br /> Custody Seals ice=Ch <br /> Intact.,Yes No 0 <br /> Yes N( Intact? <br /> Intact 910 �:-IfLs� ? Yes <br /> All samples received? Yes o.* NorD All samples containers intact? Y No 0 Description(s)match COC <br /> No f1 <br /> -3 <br /> Container: Thermometer ID:�#A� Date/TimeJU <br /> COC Received Emissivity: N <br /> e�-L-T— <br /> YES El NO Temperature:A C I C C Analyst init <br /> SAMPLE CONTAINERS t y3 A 5 s 7 a 9 <br /> to <br /> QT GENERAL MINERALJ GENERAL PHYSICAL <br /> PT PE LTNPREsE*RVED <br /> T INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2oz.NIT RATE/'qITRJTE <br /> VT TOTAL ORGANIC CARBON <br /> PT TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PIA PHENOLICS <br /> 40ml VOA VIAL TRAVEL BLANK <br /> 40ml VOA VIAL <br /> T EPA 413.1 413.2,418.1 <br /> FT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL,504 <br /> -1 EIA 50811,11818011 <br /> •EPA 515.118150 <br /> •EPA 52$ <br /> TEPA S25TRAVEL BLANK <br /> 100m1 FPA 547 <br /> 100m1 EPA 531.1 <br /> OT EPA 548 <br /> I-Q—T EPA 549 <br /> OT EPA 632 II <br /> QT EPA 801 SM. <br /> T AMBF-R <br /> 8 OZ.JAR <br /> 132 07-JA'R <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> FER-ROUSIRON <br /> ENCORE <br /> Comments: <br /> Sample Numbering Compir. ed By: Date/Tim--.- <br /> A= Actual I C= Corraded jK:1D0CSMPB01LA <br />