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Laboratories Inc. <br /> Ernironmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1012363 Page 2 of 2 <br /> 3C LAIRORATORtES INC. SAMPLE PEC€IP-T'FORM r,t', 12 OW2018 Daae J of L <br /> bs€tlaslon ' ; <br /> S1mlIPPIHG lt"l;✓ORP.�.ATIOM Sf'3lPPlt�G COh1TA1NIEP <br /> Federal Express UPS O Hard t?efivary 0 lee Chew None s� <br /> BC Lob Field Sar%riRe 7 t,W4c—r a(Spscrrj} BOR 0 Other L0(Sp*c'fy),,,,-_-,,,�,_ <br /> Refrigerant: Ice Blue Ice None 12 OtherO Cotrla'rlents: <br /> comments- <br /> custody Sear Ice Chest[? Crrest�'Itler3 Plane` Cemments: <br /> Imtact�ra �r.: l asp -1 M c <br /> 4t1 g tiptes teceleed? Y NO c Ail samples contai stars iflraflt?Ye O Lse�cYtptlor l51 mato+CDC? LL�� P�s1 Lt nn <br /> GL3C IeGE3l1 6etreissivity: woptaincr: ThsrnmattttetetlC: J 13aterTimsJG Q Z41lD <br /> AYES N 0 tt t t,p c xr t trt�t 10 <br /> 15 <br /> 'sernperaturc;A -,N �"C d C y ">: ° Ys <br /> ��m..:�.._.. . _ 9L•ftnLE tallDdBFP..aT„ ,,_......._ . <br /> SAMPLE CONTAWal'i <br /> �T sexe 0A.L iJR.WERAV OENFRAL?KY ICIk ir.... -; .. 1 <br /> PT;F'CtiNi'AI=SGttt'6It '�7r <br /> RA�ICUL111C. mrAlswTGL <br /> PT rTAKIDE <br /> I•T sr. .era IRh13 <br /> F€FGT-.i ctII.EIne ... <br /> iTPaT fr41T#ITE .. I <br /> r'1"TO'f tL f:alrlr t`ARR3@'4 <br /> 1 T.. se ICaL clxl'rt�Iafi I <br /> 344 PIVAT)LICS • <br /> �r <br /> 44-1 VQ [r1k4.L TnietlT3' R.k e7 <br /> 401 1 4'£)A VIAL <br /> OT CPA 413.1_401.LLA,I <br /> _ I: <br /> s <br /> 40 mi IDA t4AL, <br /> OT EVA W39Wmatf) <br /> R.hLTllitQL4Uf�'a.4 � i � _ <br /> s <br /> -tai'Era SIS.id*13tl <br /> T EP 523'I'ALWLL ItL t+'t: F a <br /> WNW EFA 537 <br /> ]0.1 FPa 53i..` _. <br /> T GPA!10 <br /> ' yP:Fia ssP <br /> r *; <br /> t <br /> T FTA 30isr.1 <br /> OT <br /> r k <br /> ! <br /> 9 Cts 34k s ! <br /> Ik <br /> Fr'8 S'ikL <br /> f`Ltt.iiiklFC 19irJ,� � ( .i <br /> �8 itaE_rt n?n ria+�g f Gr,.pin—txdiY; /!A. �,»��.p.. <br /> A=A::tlual d C-= arrartad if �,/3 —l`rJ <br /> his . <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 /> 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bciabs.com Page 4 of 36 <br />