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Laboratories Inc. ��i�_ <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1307237 Page 5 of 6 <br /> sC LABORATORIES INC. <br /> COOLER RECEIPT FORM Re,.Nn. 13 osl it? Page 3 Of!- <br /> submission w: p7a3 <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> t <br /> tce Chest None ❑ <br /> :ederal Express ❑ UPS❑ Hand Delivery ElBox ❑ Other ❑(Specify) <br /> 3C Lab Field Service Other❑ (Specify) <br /> Refrigerant: Ice Blue Ice ❑ None.❑ Other❑ Comments: <br /> ustody Seals Ice Chest.❑ _ Con3a]ners ❑ n <br /> - Comments.:.. <br /> -tr <br /> Nil samples received? Yes No❑ All samples containers intact? Yes No❑ Description(s)match COC? Yes No ❑ <br /> COC Received Emissivity: ��S Container: ( �_— Thermometer ID: a�� Date/Time ULC–(3 <br /> YES ❑ ND Temperature: 1 A) �•� °C / 1 C ) c> °C Analyst Init�f_Iyto a(� <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS 2 13 1-4 s s 7 a a ra <br /> 7 1 <br /> OT GENERAL MINERAL/GENERAL PHYSICAL - R <br /> PT PE UNPRES$RYEL,1, <br /> T INORGANIC CHEiv11CAL METALS <br /> ,..r rzZc�p2�.y��e <br /> PT 1NORGANLC @&M%A1�:A.r..rvrr.TALS <br /> .I5JV3 <br /> PT.CYANIDE J <br /> PT NrrII&EN FORMS <br /> PT.TOTAL:SULFI.AE . <br /> 2oz NITRATE)I.iPWTE ._ <br /> PT-.TOTAL ORGANIC CARBON <br /> PT TOA <br /> -.PT CHEMICAL OXYGEN DEMAND <br /> PEA PHENOLICS. <br /> 40m1 VOA VIAL TRAVEL BLANK <br /> 40m]VOA VIAL r <br /> .0-T.-EPA 413.1 j 413:&.418.1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 oil VOA VIAL.504 - <br /> T EPA 508/608/8080 <br /> TEPA 13 <br /> .—5---L8--1-50--'- <br /> T EPA 525 <br /> .OT T EPA 575 TRAVEL BLANX <br /> 100ml EPA 547 <br /> loom]EPA 531.1 <br /> T EPA 548 <br /> T EPA 549 <br /> T EPA 632 <br /> T EPA 8015M- - <br /> T AMBER <br /> 8 OZ.JAR <br /> 32 OZ.JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> FERROUS IRON <br /> ENCORE <br /> SMA( I KYf <br /> Con,n,ems, <br /> Date <br /> --- <br /> — ----— ---- LAt1 C3 <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 /> 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 7 of 32 <br />