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Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1006786 Page 2 of 2 <br /> SC 4Aapa�nrortl�IHC- S PLEf3ECEIPT FORPA Rev.rao.la sats Pae 0f�Su ission M <br /> IPPINO ItdFt3RINATIOtd 1 ilPPilJC3 CANTAINEf; <br /> IFederal Express UPS 0 Rand Petiwiry 0 Ice Cltest Norte 0 <br /> Lab Field Service 0 Other 0(Sraecify} Box 0 other O ispeeify) <br /> Ft <br /> efr Brant; Ic Blase Ige Ca None Outer Ct CmmWnerats: <br /> Custody SeWI(s Ice Chest Containers❑ None® CornrWtents; <br /> W :a v N®. lock v. eWa a <br /> At Ws plea rmceivcit? Nap Aft samples emnulners httact7 Ye Was Q ®escrlIlon(sI insitch COOa o p <br /> Ct}tr RBG�iYed Emiss iwlty_ r !L? Conttalnor'. Thermometer id: V5— DaletnateAPP 2 8 2 <br /> FIC <br /> ES 0 Temperature;A •� `C I C �- B °C Analyst Inu <br /> SAPN LE CONTAtaS a x y 4 5 c z g s w <br /> ENERAa hNNERAU WRALIiYSICAL <br /> P Pt ER <br /> t IN4RCAN7C CII. a.I ALS <br /> i <br /> PT-MafiANICCHEMICAL I <br /> r7"rrYl'AW,Sl.I6i'WTi __. <br /> dm.MrRATE t lVt W: <br /> 9 PAIt86N <br /> risiadwako <br /> &r MIN <br /> Y <br /> P <br /> VQA VkAL a 1 1 t 1 s lyl 1 i r W. <br /> ' 6PA All.l 2ll.d 7 <br /> PT Dow <br /> OT <br /> i <br /> FR <br /> a -... <br /> QT <br /> EPA SWS,WIN <br /> jea.1 EPA <br /> W 1 A 7 <br /> Sal.I <br /> ' 21 RA are <br /> OT EPA iss <br /> 6 <br /> m J <br /> Com ks:.. <br /> Saampk Ntrm@aring Ca /,Wal Sy: Aaanrrimm: <br /> A=Actual I CxCarilocloilIn:+aoLs�+P ta®_ #vor�rl aAtCa,x>»al <br /> The results in this report apply to the samples analyzed in accordance with the chain of custody document.This analytical report most be reproduced in its entirety. <br /> All results listed in this report are for the exclusive use of the submitting parry. 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.bclabs.com Page 4 of 29 <br />