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Laboratories Inc. _ <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1307237 Page 6 of 6 <br /> BC LABORATORIES INC. COOLER RECEIPT FORM Fte,No. 13 08f 17!12 Page _�i Of <br /> Submission li' «n—{a-J- <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Express ❑ UPS❑ Hand Delivery ❑ Ice Chest 69, None ❑ <br /> BC Lab Field Service Ca Other❑ (Specify{ Box ❑ Other ❑ ISpecify) <br /> Refrigerant: Ice Blue Ice ❑ None❑ Other❑ Comments: <br /> Custody Sesls Ice Chest❑ Ctin3alners'❑ _None Comments.:.__ <br /> z <br /> x <br /> All samples received? Yes No❑ All samples containers intact? Yes 62 No❑ Description(s)match COC? Yeis No ❑ <br /> COC Received Emissivity: ,�S Container: _ Thermometer ID: a�—I Date/Time L I Q–I�J <br /> YES ❑ NO �, �C Analyst Init J a(� <br /> Temperature: I A) `�• "C / (C I <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS -T-1- ' <br /> 11 12 3 t4 56 7 B 9 10 <br /> OT GENERAL MINERAL/GENERAL PHYSICAL <br /> PT PE UNPRES.ERVED <br /> T IN.ORGAN1c CI>>a4ICAL MET S <br /> ` p <br /> PT INORGANICxCHEMI+npv¢AL METCALS <br /> PT CYANIDE <br /> PT NITROGEN-FORMS <br /> PT.TOTAL..SMM.E <br /> 2oz.NITFATE I KITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT TOR <br /> PTCHEMICAL OXYGEN DEMAND <br /> PIA-PE14+NOLICS. <br /> 40mIV.UAVIAI.TRAWL BLANK <br /> 46ow VOA viAiL <br /> #T-—kPA 413:1:413.2-_418.1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> ;40_i I VOA.VIA,L-504. <br /> TEPA 508/60.8/8080 <br /> TEPASl3.118150.._ .... _. ..... .. ...... <br /> T.EPA 525 <br /> T EPA 525 TRAVEL BLANE <br /> 100m1 EPA 547 <br /> 100m1 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 SLEEV E <br /> PCB VIAL <br /> PLASTIC BAG <br /> FERROUSIRON <br /> ENCORE <br /> `,-t pop.Wonhe.inn C �,leled B J D.'lellimc•: L' v__ - <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 8 of 32 <br />