Laserfiche WebLink
Laboratories Inc. ��i�- <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1620482 Page 3 of 4 <br /> RC LABORATORIES INC. COOLER RECEIPT FORM Page ,J— Of <br /> Submission A: <br /> SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br /> Fed Ex ❑ UPS❑ Ontrac❑ Hand Delivery ❑ Ice Chest L None ❑ Box ❑ YES ❑ NO ❑ <br /> BC Lab Field Service [� Other❑ (Specify) Other ❑ (Specify) / S <br /> i <br /> Refrigerant: Ice Blue Ice❑ None O Other O Comments: <br /> Custody Seals lce Chest❑ Contaiiiers❑ None Comments: <br /> it > s r / <br /> All samples received' liesi`:3 I_ F,n samples containers int:c:C lies NO❑ Cescription(s)match COC:' Yes�,, iJo u <br /> OC Received Emissivity: C1-9 I Container: Pb Thermometer ID: 0 DatelTime <br /> OYES ❑ NO Temperature: I A) D-� °C ! (C ) L-( °C Analyst Init <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> 9 10 <br /> OT PF.T.NPRFS <br /> 4oz/So?./16oz PE UNi PRES R <br /> 2m Cr" <br /> nT INORGANIC CT-TONITCAL i\4ETALS <br /> INORGANIC CTTENllCAI,'mT&TALS 4oz/Soz/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 /> PIA PHENOLICS <br /> 40ml VOA VIAL TRAVEL BLANK <br /> 4081 VOA VIAL <br /> gr EPA 1664 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL-504 <br /> T EPA 508/608/8080 <br /> T EPA 515.IM150 <br /> T EPA 525 <br /> T EPA 525 TRAVEL BLANK <br /> 4081 EPA 547 <br /> 4081 EPA 53L1 <br /> Boz EPA 548 <br /> T EPA 549 <br /> T EPA 8015M <br /> T EPA 8270 <br /> 80z/160z/32oz AMBER <br /> 8oz/16oz/32oz JAR <br /> SOD.SLEEVE <br /> PCB VIAL <br /> PLASTIC BAC <br /> TEDLAR BAG <br /> FERROUSIRON <br /> ENCORE <br /> SMART HIT <br /> SUMMA CANISTER 4—, <br /> Comments: <br /> .� i DateMme: �- - ti � o�['s Rev 27 o5rz7Tzo is <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: 1000510897 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 5 of 30 <br />