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SC LABORATORIES INC. SAMPLE RECEIPT FORM Rev. No.a 1/7/98 Page _ Of (� <br /> Submission #: / � _SG�� Project Code: <br /> /SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Express ❑ UPS ❑ Hand Delivery ❑ Ice Chest None ❑ <br /> BC Lab Field Service Other❑ (Specify) Box ❑ Other ❑ (Specify) <br /> Refrigerant: Ice ❑ Blue Ice None ❑ Other ❑ Comments: <br /> a:;:;: : NoneCustod SealsComments: <br /> All samples received? Yes No❑ All samples containers intact? YesNo ❑ Description(s) match COC? Yes❑ No <br /> Ice Chest ID Ice Chest ID <br /> Temperature: S: 7 °C Temperature: °C <br /> Thermometer ID: / Thermometer ID: <br /> Emissivity Emissivity <br /> Container Container <br /> SAMPLE NUMBERS �I <br /> SAMPLE CONTAINERS <br /> QT GENERAL MINERAL/GENERAL PHYSICAL �I <br /> PT PE UNPRESERVED <br /> QI INORGANIC CHEMICAL MEIALS <br /> PT CZXAN112E <br /> EI FMANn <br /> Q1 EPA433-1-433-2-438.1 <br /> PT nnnR <br /> RADIQLQGICAL <br /> BACTEBIQWGICAL <br /> PT EPA 50!1 <br /> QJ EPA 5Q8/f1Q8/8Q8Q <br /> OT EPA 515-118150 <br /> QI EEA 525 <br /> QJ EEA 525 TRAVEL BLALIK <br /> 1QQMI EPA 547 <br /> QT EPA 5!113 <br /> QI EPA 542 <br /> LIT EPA 8035M <br /> al QAIQQ <br /> QJ AMBER <br /> o/ <br /> A n7 JAR <br /> 32 OZ-JAB <br /> SOIL SLEEME <br /> 20 VIAL <br /> PLASTIC BAG <br /> Comments- <br /> Completed by: ' IF:\WPSO\LAB DOCS\FORMS\SAMREC2.WPDj <br />