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11111 Laboratories, Inc. , <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1300562 Page 3 of 4 <br /> rtFe <br /> RATORIES INC_ C06LER RECE P FORM Ren.Na.17 a 11711 Page Of <br /> sion N: `(J <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> FederalExpress ❑ J�1P5❑ Hand Delivery ❑ Ire Chest None ❑ <br /> Field ServLGC�U Other❑(Specify) Box ❑ Other ❑ ISpecilyl <br /> Refrigerant: Ice Blue Ice❑ None❑ Other 0 Comments: <br /> Custody Seals Ice Chest❑ Containers❑ None Comments: <br /> r<� <br /> All samples received? Ye No O All samplcs containers intact? Ye No❑ nescriptlonlsi match COC? a 17 Nn-&— <br /> L <br /> n-&® <br /> COC Received Emissivity: ` Container: ThermometerlD:, D� Oatellime� $ 13. <br /> YES ❑ NO D3"L) <br /> Temperature: I A I_ 1•q -C I 1C i c�`• °C Analyst Init d4.�Q <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> 1 2 1 3 4 6 6 7 !! 4 la <br /> ULT 13 NERAL MINERALI GENERAL PHYSICAL Nor <br /> PT PE LWPP"ERVED <br /> T INOTtGANIC CHMMICAL kIETALS <br /> PT INOttG&KIC CREmICAL luIETALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULMDE <br /> ion NITRATE i NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT Tog <br /> PT cimmiCAL OxYGEN vFmAND <br /> PIA P1IFNOLICS <br /> 40.W VOA VIAL TRAVEL DLANIC <br /> 40ru1 VOA VIAL r r r F t <br /> T EPA 4I3.1 413. 418.1 <br /> 1'T Oa is <br /> RADIOLOCSCAL <br /> 9AC 91u41.OGICAL <br /> 40 od VOA VIAL.504 <br /> T EPA 5asidOWNH <br /> T EPA 5MM156 <br /> T EPA 525 <br /> T EFA 525 TRAVEL BLANK <br /> 100ral EPA 547 <br /> 100mlEPA 571.1 <br /> T EPA 548 <br /> T 9VA 549 <br /> T E-A 632 <br /> T EPA 8WIM <br /> T ASIaE1t <br /> 8 07-JAR <br /> 33 OZ JAR <br /> SOIL BLREV E <br /> PCD VIAL <br /> YLAS17C BAG <br /> rERROUS IREPN <br /> ENCORE <br /> SMART Kt T <br /> i <br /> Comments:—/3 <br /> Sarnple Numbering Completed ay: DoletTlme. Q <br /> A � Aclual I C - Corrected J <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 altemdo4 separation,detachment or third party interpretation <br /> 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327.1918 www.bclabs.com Page 6 of 28 <br />