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Laboratories Inc. _ <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1407872 Page 4 of 4 <br /> BC LABORATORIES INC. COOLER RECEIPT FORM Rev.No.15 07/01/13 Page Q--Of <br /> Submission#: <br /> SHIPPING INFORMATION FCh <br /> IPPING CONTAINER FREE LIQUID <br /> Federal Express ❑ UPS❑ Hand Delivery t None ❑ Box ❑ YES ❑ NO ❑BC Lab Field Service Other❑(Specify) ❑(Specify) <br /> Refrigerant: Ice Blue Ice❑ None❑ Other❑ Comments: <br /> Custody Seals�1ceL�hesYE7r G�ontatnerst❑ Nong,,6 Comments: <br /> No'EjAll samples received? Ye No❑ All samples containers intact? Y No❑ Description(s)match COC? No ❑ <br /> COC Received ]:Emissivity: Container:�G Thermometer ID: DatelTime LI•g•I�l <br /> P7YES ❑ NO <br /> Temperature: (A / (C ) 2.1 °C Analyst Init <br /> SAMPLE NUMBERS ; t• <br /> SAMPLE CONTAINERS <br /> T GENERAL MINERAL/GENERAL <br /> PT PE UNPRESERVED <br /> T INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2oz NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON . <br /> PT TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> 40ml VOA VIAL TRAVEL BLANK <br /> 40ml VOA VIAL t t t t t t t t t t t t t t <br /> T EPA 413.1 413.2 4I8.1 <br /> PT ODOR l <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL-504 <br /> T EPA 508/608/8080 <br /> T EPA 515.118150 <br /> T EPA525 <br /> T EPA 525 TRAVEL BLANK <br /> 100nd EPA 547 <br /> i <br /> 100.1 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 1 <br /> FERROUSIRON <br /> ENCORE <br /> SMART KIT <br /> Summa Canister <br /> Comments: <br /> Sample Numbering Completed By: Date/Time: Noy <br /> d'9 <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 intermetation. <br /> Report ID: 1000229857 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 6 of 30 <br />