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EIC LABORATORIES INC. SAMPLE RECEIPT FORM Rev. No.0 1/7/98 Page _ Of <br /> Submission #: _ 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: A,17— <br /> Custody <br /> /,Custody Seals: tCe Cheri L7 Cootalners LI None ❑ Comments: <br /> � b+taet7 Ysa f7'Alo . irrtact7 Yes:G} No.' <br /> All samples received? Yes No CIAll samples containers intact? Yes No ❑ Description(s)match COC? Yes' ` No a j! <br /> Ice Chest ID Ice Chest ID i <br /> Temperature: /57,2 / �C Temperature: "C <br /> Thermometer ID: / 7 Thermometer ID: <br /> Emissivity Emissivity <br /> ✓� ContainerContainer <br /> SAMPLE NUMBERS ;I <br /> [-SAMPLE CONTAINERS <br /> e 2 �i i •z <br /> QT GENERAL MINERAL/GENERAL PHYSICAL <br /> PT PE UNPRESERVED <br /> QT 112OR13 Q CHEMICAL METALS <br /> I <br /> PT r.YANIDF <br /> i <br /> PT 121IROCEN FORMS <br /> PT TOTAL <br /> I <br /> al <br /> VQA SE1(3 VIALS, 1T8) <br /> UT EPA 41 <br /> PT onnR <br /> BACIERIQLQGICAL <br /> ET EPA 504 <br /> CIT EPA 50816!28180EQ <br /> OT EPA 515-112150 <br /> UT EPA 525 <br /> OT EPA 525 TRAVEL 81 ANK <br /> 1 QQml EPA 541 <br /> I 00rnI EPA 531A <br /> Q1 EPA 548 <br /> QT EEA 542 <br /> OT FPA 817 <br /> OT FPA A015M <br /> QT=QQ <br /> 8 OZ- JAR <br /> 32 QZ JAR <br /> SOIL St Fr-VF <br /> PCR YfAI <br /> 1 I <br /> i <br /> i <br /> I I <br /> I <br /> i <br /> i <br /> ii <br /> i <br /> i <br /> i <br /> it <br /> it <br /> l <br /> ii <br /> ii <br /> 4 <br /> i <br /> ii <br /> PLASTIC BAG Ii <br /> I� <br /> Comments: <br /> Completed by: /1_�{.�„�,� / Q��J IF:\WPSo\LAB_DOCSIFORMS'SAMREC 2.W PC <br />