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Laboratories Inc. ��i�_ <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1620482 Page 4 of 4 <br /> BC LABORATORIES INC. COOLER RECEIPT FORM Page o9 Of <br /> Submission #: 6- (// , <br /> SHIPPING INFORMATION SHIPP fG CONTAINER FREE LIQUID <br /> Fed Ex ❑ UPS❑ Ontrac❑ Hand Delivery ❑ Ice Chest Crf None ❑ Box ❑ YES ❑ NO ❑ <br /> BC Lab Field Service Other❑ (Specify) Other ❑ (Specify) S <br /> Refrigerant: Ice Blue Ice❑ None ❑ Other❑ Comments: <br /> Custody Seals Ice d-hest❑ ;Containers ❑. None Comments: <br /> Intact7 Yes 1­1 No <br /> All samples received? Yes No❑ Ail samples containers intact? Yes No❑ Description(s)match COC? Yes No ❑ <br /> OC Received Emissivity: n_ Container: I'G Thermometer ID: .30s, Date/Tine aoZS,s -7-o7t; <br /> p YES ❑ NO Temperature: (A) D_tfJ °C I (C ) O.( °C Analyst Init <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> 7 2 3 4 5 1 6 7 8 9 70 <br /> T PE UNPRES i <br /> 40z/Soz/160z PE UNPRES A <br /> 2oz Cr" <br /> OT INORGANIC CHEMICAL METALS <br /> INORGANIC CHEMICAL METALS 4az/8oz 116- <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 /> 40ml VOA VIAL TRAVEL BLANK <br /> 40ml VOA VIAL, <br /> T EPA 1664 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL-504 <br /> T EPA 5081608/8080 <br /> T EPA 515.18150 <br /> T EPA 525 <br /> T EPA 525 TRAVEL BLANK <br /> 40nd EPA 547 <br /> 40ml EPA 531.1 <br /> 8oz EPA 548 <br /> T EPA 549 <br /> T EPA 8015M <br /> T EPA 8270 <br /> 8az/16oz/32oz AMBER <br /> 8oz/16oz/32oz JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> r. <br /> PLASTIC BAG <br /> TEDLAR BAG <br /> FERROUSIRON <br /> ENCORE <br /> SMART HIT <br /> SUMMA CANISTER <br /> Comments: <br /> Sample Numbering Completed By: - L Date/Time: 7 - �s�Cf It-27 05/23!2076 <br /> MRFf..wv 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: 1000510897 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 6 of 30 <br />