Laserfiche WebLink
1 <br /> Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1414272 Page 2 of 2 <br /> ' BC LABORATORIES INC. COOLER RECEIPT FORM Rev.No.17 06;06114 Page�Of <br /> Submission #:1 vi-1" a- <br /> ' SHIPPING INFORMATION FChestw� <br /> PPI CONTAINER FREE LIQUID <br /> Federal Express ❑ UPS❑ Hand Delivery ❑ None ❑ Box ❑ YES ❑ NO ❑ <br /> BC Lab Field Service Other❑(Specify) (Specify) <br /> ' RefrigerantZ'Isj <br /> ❑ None❑ Other❑ Comments: <br /> Custod Se <br /> y bc : NonelY� Comments; <br /> All samples reAll samples containers intact? Yea�o❑ Descriptionls)match COC? YdN No LI <br /> COC missivity:p Container: Thermometer ID:YESTemperature: l A) t. �o 'C (C 1 1. <br /> V 'C Analyst Ini <br /> ' SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> 1 2 3 4 6 6 7 a 9 10 <br /> T GENERAL MINERAL/GEYERAL <br /> PC PE UNPRESERVED <br /> ' 'L INORG.LNIC ClIEM[CAL METALS <br /> PT INORGANIC CFIE'.1-IICAi.MI?TALS <br /> PT CYANIDE <br /> Pr NITROGEN FORMS <br /> ' PT TOTAL SULFIDE. <br /> 2oz.NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT TOX <br /> ' PT CHEMICAL OXYGEN DEMAND <br /> Put PHENOLICS <br /> 40.1 VOA VIAL TRAVEL BLANK <br /> 40ml VOA VIAL t i <br /> ' T EPA 413.1413.2418.1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACITE.RIOI";ICAL <br /> 40 ml VOA VIAL-504 <br /> T EPA 5081608,18090 <br /> T EPA 515.IBL50 <br /> T EPA 525 <br /> ' T EPA 525 TRAVEL BLANK <br /> 40ml EPA 547 <br /> 40ml EPA 531.1 <br /> Boz Amber EPA 548 <br /> T EPA 549 <br /> C EPA 63Z <br /> T EPA 8015M <br /> T AMBER <br /> ' 8 OZ.JAR 1 p <br /> OZ. AR ILC O <br /> SOIL SLEEVE <br /> PCR VIAL- <br /> , PLASTIC BAG <br /> FERROUS IRON <br /> ENCORE <br /> SMART KIT <br />' SUIllrlla Canister <br /> Comments: <br /> Sample Numbering Completed By. vDatelTimel.!-{04 1 s'1 IS:IWPDOC1WortlPerloctlLAe DOCSIFORMS\SAMREC I6 <br /> A = Actual ! C = Corrected "- <br /> The results in this report apply to the samples analyzed in accordance with the chain OJ custody document.This analytical report must he reproduced in its entirely. <br /> All results listed in this report are for the exclusive use of the submitting' party. BC Laboratories,Inc.assumes no responsibility for report alteration,separation,detachment or third party interpretation.Report ID: 1000268115 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com <br /> Page 4 of 25 <br />