Laserfiche WebLink
Laboratories Inc. ��i�_ <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1609747 Page 3 of 3 <br /> BC LABORATORIES INC. COOLER RECEIPT FORM Page—9—Of <br /> Submission #: s <br /> SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br /> Fed Ex ❑ UPS❑ Ontrac❑ Hand Delivery ❑ Ice Chest N1 None El Box ❑ YES ❑ NO C]BC Lab Field Service"IP Other❑(Specify) Other ('Specify) <br /> Refrigerant: Ice Blue Ice❑ None❑ Other❑ Comments: <br /> Custody Seals I f I None Comments: <br /> gj <br /> All samples received? Yes No❑ All samples containers intact? Ye No❑ Description(s)match COC? Ye No ❑ <br /> COC Received Emissivity: G Container: Thermometer ID:2 Date/Time <br /> L�rES ❑NO Temperature: (A) °C / (C ) °C Analyst Init <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> 1 2 3 4 5 6 1 7 M 8 T 9 70 <br /> T PE UNPRESZrT <br /> - <br /> 4oz/Soz 116oz PE UNPRES <br /> 2oz Cr*' <br /> QiINORGANIC CHEMICAL METALS <br /> INORGANIC CHEMICAL METALS 4oz/8oz/16oz <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2oz.NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON ' <br /> PT CHEMICAL OXYGEN DEMAND ' <br /> PtA PHENOLICS <br /> 40m1 VOA VIAL TRAVEL BLANK <br /> 40ml VOA VIAL <br /> T EPA 1664 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 mi VOA VIAL.504 <br /> T EPA 508/608!8080 <br /> T EPA 515.1/8150 <br /> T EPA 525 <br /> T EPA 525 TRAVEL BLANK <br /> 40ml EPA 547 <br /> 40ml EPA 53LI <br /> 8oz EPA 548 <br /> T EPA 549 <br /> T EPA 8015M <br /> T EPA 8270 <br /> 8oz/16oz/32oz AMBER <br /> 8oz/16oz/32oz JAR <br /> SOILSLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> TEDLAR BAG <br /> FERROUSIRON <br /> ENCORE <br /> SMART KIT <br /> SUMMA CANISTER <br /> Comments: <br /> Sample Numbering Completed By: DatelTime: Rev 20 07/24/2015 <br /> A = Actual / C= Corrected IS.IWPD.c1WeldPe,(¢EOLAB DOCS%FORMSISAMREC,ev 201 <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 /> Report ID: 1000472380 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 5 of 29 <br />