Laserfiche WebLink
Laboratories. Inc. <br /> ' Environmental Testing laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1523651 Page 2 of 2 <br /> ' BC LABORATORIES INC. COOLER RECEIPT FORM Page Of <br /> Submission <br /> SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br /> Fed Ex ❑ UPS❑ Ontrac Cl Hand Delivery ❑ Ice Chest None ❑ Box o YES O NO El' BC Lab Field Service K Other O(specify) Other ❑(Specify) <br /> Refrigerant: Ice ffi. Blue Ice❑ None❑ Other❑ Comments: <br /> Custody Seals (ce Chest l7 - Centa(nere O Sj None Comments: <br /> All samples received? Yea Na D All samples containers Intact? Yea No O Desedptian(s)match COC? Yes No ❑ <br /> COC Received Emissivity: Container: Thermometer 10: Dg' DateTma Q 6O�5-T ,1-x <br /> YES ❑ NO Tem erature: 1 A 1 •, °C / (C 1 °C Analyst Init I trgl <br /> SAMPLE NUMBERS <br /> SAMPLECONTAINERS <br /> + z1f s s > e s +o <br /> ' reE 1wPRF5 <br /> Im/ear hoz e16IPREs <br /> mr crr <br /> OT wORGANIC CREAIMIAL MRFALS <br /> woacANlc cITeM1cAL MerALs a./en:/16as <br /> Fr CYANUM <br /> Pr NITROGEN FURMS <br /> Pc TOTAL suLFme <br /> las NITRATR/NITRITE <br /> Pr TOTALORGAMCCAMON <br /> YL CH104CAL OxYGM DEASAND <br /> PIA PFI6NOLICS <br /> ' IOmt VOA VIALTMVBL 8IANR <br /> Cemt VOA VIAL L <br /> T EPA 1660 <br /> "ODOR <br /> ' RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 00 mI VOA VIAL-501 <br /> T EPA ssiva 2Ma <br /> ' TEPA50.LBI50 <br /> T EPA 576 <br /> --- TEPA3IITRAVEL BLANR <br /> Boa EPA 518 <br /> TEPA519 <br /> EPA BLEAT <br /> ' EPA B 0 <br /> Boz/16m/SSm AMBBR <br /> suaz/16oz/3hea AR <br /> soa scesvE <br /> PCBVGL <br /> PLAS[IC BAC <br /> TBBLAR BAG <br /> PERROOs MON <br /> ENCORE <br /> SMART IOF <br /> StIsUV A CANISTER <br /> Command: <br /> ' SamPla NBmberinR Completed By: Date/Rme: Rev 20 0724/2015 <br /> A-Actual / C-Corrected aaamnw..ann.°nus nornraurruassw..mt <br /> ' The results in this report apph,to the samples analysed in accordance with the chain ojcustody document.This analytical report most be reproduced in its entirety. <br /> All results listed in this aperture for the exclusive use of the submining peM.BC Labommries.Inc.assumes m responsibilityfm myon altemtim.sMamtion,dmchmmt m third p M intemrnation <br /> Report ID: 1000403977 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 4 of 45 <br />