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Laboratories Inc.. <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custody and Cooler Receipt Form for 1414272 Page 2 of 2 <br />The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must be reproduced in its entirety. <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. <br />Report ID: 1000268115 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 25 <br />BC LABORATORIES INC. COOLER RECEIPT FORM Rev. No. 17 06105/14 Page k Of l <br />Submission #:}v1" 1-1 '-� a– <br />SHIPPING INFORMATION <br />Federal Express ❑ UPS ❑ Hand Delivery ❑ <br />BC Lab Field Service Other ❑ (Specify) <br />SHIPPING CONTAINER <br />Ice Chest None ❑ Box ❑ <br />Other ❑ (Specify) <br />FREE LIQUID <br />YES ❑ NO ❑ <br />Refrigerant: Ice Blue Ice ❑ None ❑ Other ❑ Comments: <br />Custody Seals <br />Ice Chest ❑ <br />7 Yes i I No <br />Containers ❑ <br />7 <br />None Comments: <br />All samples received? Yes No ❑ All samples containers intact? Yes6--N. 11Description(s) match COC? 4NNo11COC <br />Received Emissivity:o-,gf Container? f7 Thermometer ID: Dwe/Tim4411 13� <br />YES ❑ NO Temperature: (A) ' l0 °C 1 (C) 1. tY °C Analyst Ini <br />SAMPLE NUMBERS <br />SAMPLE CONTAINERS <br />1 2 3 4 5 6 7 8 9 10 <br />T GENERAL MINERAL/ GENERAL <br />PT PE UNPRESERVED <br />T INORGANIC CHEMICAL METALS <br />PT INORGANIC CHEMICAL METALS <br />PT CYANIDE <br />PT NITROGEN FORMS <br />PT TOTAL SULFIDE <br />2oz. NITRATE /NITRITE <br />PT TOTAL ORGANIC CARBON <br />PT TOX <br />PT CHEMICAL OXYGEN DEMAND <br />PIA PHENOLICS <br />40ml VOA VIAI, TRAVEL BLANK <br />40ml VOA VIAL <br />T EPA 413.1 413.2 418.1 <br />PT ODOR <br />RADIOLOGICAL <br />BACTERIOLOGICAL <br />40 ml VOA VIAL- 504 <br />T EPA 508/608/8080 <br />T EPA 515.118150 <br />T EPA 525 <br />T EPA 525 TRAVEL BLANK <br />40m] EPA 547 <br />40ml EPA 531.1 <br />8oz Amber EPA 548 <br />T EPA 549 <br />T EPA 632 <br />T EPA 8015M <br />T AMBER <br />8 OZ. JAR <br />OZ. JAR I Le 0 <br />SOIL SLEEVE <br />PCB VIAL <br />PLASTIC BAG <br />FERROUSIRON <br />ENCORE <br />SMART KIT <br />Summa Canister <br />Comments: <br />Sample Numbering Completed By. Date/Time IS:{WPDoe\WordPerfect\LAB_DOCS\FORMSISAMRECI6 <br />A = Actual / C = Corrected <br />The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must be reproduced in its entirety. <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. <br />Report ID: 1000268115 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 25 <br />