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Laboratories Inc. <br />Environmental Testing Laboratory Since 1949 <br />t.nam or custoay ana uooller ttecelpt form for 1302491 Page 2 of 2 <br />cooLER RECEIP7 F 5 ilp Re".:aa. 13 oel 1702 Page <br />SHIPPING INFORIVIt.TIDN Fi1-PING C 0 N 7 _,IPiF : <br />aderal Express ❑ UPS ❑ Hand Delivery D lce Gitest [ _ Non^ D !� <br />iC Lab Field Service Dihar ❑ ISpaciiyi Hoz ❑ Dlher t-1 <br />I�Refrigerant: Ice G` Blue Ice ❑ Alone D Qther C{ Cortmenls: <br />:vslody Seals Ice Chest D ' Containers ❑ Alone. -EY Comments: I� <br />Al samples received? Yes— NOD All samples comainers imacl? Yes ja- NO ❑ Des:.rviptianlsy ma?ch COC? Ye; @t- i --lo ❑ <br />,l.�-� t <br />COC Received Emissivity:9f5 Container: 'yi Thermometerlr �rl—� Date/Tilrte <br />D"Y E S 0 N O <br />Temperature: I A t % ,� `C I I C I �•� `C Analyst Init i1�= <br />SAMPLE NNU-MBE—S 7— <br />SAMPLE CONTAWER5 <br />'T PE UNPILESER V ED <br />L' <br />I.rn_. r I 1A ..'`'t I rl rl I . d 1 •1 rl r 11 I r '11 <br />4 <br />40 Kid VOA viA.L. ;04 <br />nT EPA 568160818080 <br />QT ECA 515. U8158 <br />OT EPA 5_5 <br />I <br />OT EPA 525 TRA VEL BLANK <br />Mind EPA 547 <br />I00m1 EPA 531.1 <br />RT EPA 548 <br />T EPA 549 <br />K <br />32 <br />015M <br />tR <br />EV F: <br />PCL' VIAL <br />PLASTIC ttA4; <br />F F -it 111WI5 11/1;ri:' <br />Eiah}RE <br />Sn t a1;T la'r <br />..mtmerus- <br />-n1? P.., <br />4i I""I I , .r enrrec'ecl <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 vwvw.bclabs.com Page 4 of 16 <br />