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:a Laboratories <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for1301603 Page 2 of 2 <br /> CUULEH REChIP't FORM n...M.13 08111112 rage 1 UI _ <br /> 9G LABORATORIES INC. _. <br /> Submission N: 13 I <br /> SHIPPING INFORMATIONSHIPPING CONTAINER <br /> PS O Hand Delivery O ICD Chest None q <br /> Fed sts C) PSO other DISpecily) <br /> BC Labn Field ie1J 5ervir.¢ Other❑Ispecilyl <br /> Rebigefanl: Ice BIUe lee D None D Other OComments: <br /> CUslodq Seals Ice Chest D Containers O Nonwd Comments: <br /> w¢c2Yes 1 <br /> All samples s¢ceived? Yes\ N.0 All snepl¢s c^nlui^.rs inOwl? Yes IIT Neo De.rziPJanlsl mnlcU COC? Yes 01 N. ❑ <br /> COC Received EmissWby: O°IS Camainpr: • Thesmom¢ur 1[t��1 Dale/Time -21 3-13 - ,T <br /> ,,COG <br /> O NO I A) ly 'C I I C 1 �•-1 'c Analyst Inil JNu? <br /> dp0 <br /> SAMPLE NULALII <br /> SAMPLE CONTAINERS 2 1 5 c ? e 9 IO <br /> UT tWERA MINIMAL)GENERAL PHVSICAL <br /> n-PEWIMSERVED , <br /> T INTIRBANICCHEAIICA1,?l <br /> Pl']NOIOAMCOIEAOGLL tAET S � <br /> in CVANWE <br /> PT NITROGEN NORMS <br /> irr To AL SULIIDE <br /> 2e, frnUTEINITN'rE <br /> IT OTALORGANICCAILRON <br /> I•T'rox <br /> PT CHDOCAL OSVCEN DEMAND <br /> PIA RIVOUCS 1 <br /> uOrNVBAVIALTRAVELOLANM ^ WI <br /> L� r <br /> 40ad VGA VIAL — <br /> 1Q1.13.1 x111 al R.I <br /> I'1,ODOR <br /> flnmoluf:lcnt — <br /> HAORNOLOGICAL <br /> AD mi VOA VILA 504 <br /> TUA501111i AW4 <br /> 'I'BPA515.111151 <br /> TADS <br /> T <br /> VA 525 TTUVRL ISLANE <br /> 106.1 IAA 547 <br /> IOOM 1]A 531.1 <br /> T"AMR <br /> T UA 54R <br /> T EPA 02 <br /> T EPA1015A1 <br /> TALLIER <br /> 07. Am _ <br /> 11 OLIAIS <br /> SOILSLEISVE <br /> PCR VIAL <br /> PLASIl - ---- _ <br /> F>IUIOUS IRON <br /> 111,100114: <br /> SMA411(1'! <br /> 1,013: <br /> The resells in Ihir r¢yorl apply 10 she somyles nnnlpled in uccordnnce$sill the chum ofclestedy docurnenr.Tbis mnalylic¢l repo......1 be Irpr'od¢ced in ifs.1h ely. <br /> All recaps lrslCd in this.¢Pon am for the<xdnsire tae ohhc snbnlinin6 Pany. UC UerA.ncP,lnc.aunines n.responsibility for reWaa1tcneon.scpamiun.&iachnp:m orlhisd pinyintere lion. <br /> 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)3271918 v .bclabs.com Page 4 of 14 <br />