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Laboratories Inc. <br /> mEnvironmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 2002021 Page 2 of 2 <br /> 130 LABORATORIES INO, COOLER RECEIPT FORM Page Of <br /> Submission #: <br /> IN SNIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br /> Fed Ex 0 UPS ❑ Ontrao b Hand Delivery O lee Chest A( Nene O Dox 0 )S9 0 NO El <br /> BG Lab Meld Scrvlce $L Other 0 (Specify) Other to (Speclfyl w / S <br /> Refrigerant: ice Dluc Ice Q None 0 Other D Comments: <br /> Custody SealsNone Comments: <br /> r0J <br /> =YES0 <br /> Yt- 1 No CI All asmplrs aoofainera intact? Yrs No ❑ Prsaription(s) mntah CDC? US (/ No ❑ <br /> ed Etn1=mty: a Cantatnar. Thetmemater ID: Dataltare 1 ` �' <br /> Ft( d Tem etaWre: A °C C 1 "C Analystfrat � ` <br /> SAMPLE NUMOFfis <br /> 6AMPLE CONTAINERS s to <br /> 1 2 5 t 5 a 7 � <br /> P UNPUS <br /> dor / baa/_1Saa PE XWRES <br /> _ . Coo - - - <br /> iw <br /> Tt�6 G CEHh71CALbf:E3'SIY..S . - <br /> It3CRGANICCH�kITCALM[:1AL54oa/ Bos/14oa ' <br /> PT CYANImE ' <br /> FPl'JITROGIiNB4 S __ - '. <br /> o <br /> 2az NI ZR T22I'E`L - <br /> Pr TOTAL ORGAMC CAMO1r <br /> OXYGYXDi3MAND <br /> PIKPMROLICS '—' —'. -_ .__. ._ _ .._,_.__ _. .._.__ ..___ . __ _ ._ __ _ __ _.___ ._._ �._ _..__ _ m .._ ___ <br /> - d@m1VOAVIALTRA'vitr�hl:J.ItiC ., .__ ._ ..- - .- - . Fv. r F <br /> alp <br /> $8A 16FA <br /> PT ODOR <br /> RAD10LOGICAL <br /> DACT2;RI¢? omciL <br /> 4D arl VOA >'.- 3ed <br /> S�x1;PA50➢ttS�4[800a �� . . r.-.�.. <br /> EPA875.118i8q .._ . . -- <br /> TBPA525 <br /> BPA SWRh BLA14K v <br /> demlBpA5Qr _ <br /> - EPA548 <br /> EPA SO r <br /> TZPA SURel _ <br /> ¢TBPA 8,2111 - <br /> 8na/16OZ132ua ER <br /> Yet SS PC - <br /> SOIL SLE6VE <br /> Pcu VIAL <br /> �PLASTYC7lt/G � . <br /> eLRBh <br /> IMUROM IRON <br /> ENCORE ; <br /> S 4ART Mr <br /> SMWA CANISTER <br /> nrntnents;� . <br /> amptestumberfna_Cnmr,lntatt AVt !1ti Aatedrlrnp ■ c n kw$I_ ys rzara--- <br /> The results in this report apply to the samples onaly:ed in accordance with the chain q(c•ustody document . Thea analytical report must be reprochiced in its enro'ety. <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 : 1000990981 4100 Atlas Court Bakersfield , CA 93308 (661 ) 327-4911 FAX (661 ) 327- 1918 www. bclabs.com Page 4 of 35 <br />