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Laboratories, Inc. I <br />Environmental Testing Laboratory Since 1949 <br />The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must he 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.bclabs.com Page 4 of 12 <br />BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev. No. 12 0612410a Page J.- Of <br />Submission#: jk,,LC)5-j2— <br />1 11 <br />SHIPPING INFORMATION SHIPPING CONTAINER <br />Federal Express 0 UPS 0 Hand Delivery 0 tee Chest IV None 0 <br />BC Lab Field Service Other 0 (Specify) Box 0 Other 0 (Specify) <br />Refrigerant, Ice Blue Ice 0 None 0 Other 0 Comments: <br />Custody Seals <br />Inlact?.Yes No <br />0 None W: Comments: <br />Intact? Yes � Na0 <br />All samples received? Yesk) No c3 Al . I samples containers Intact? Ye -f6- No 0 Deswiption(s) match COC? Yes -) No 0 <br />COC Received Emissivity: ap-41L Container CQ4-9 Th*ermometerID: +I Date/Time I•L-kLj-j� <br />YES <br />q -YES 1:1 NO Temperature: A, C I `C ZIL40 <br />-C Analyst InIL Jigw <br />RAMPI F I]MRFRR <br />SAMPLE CONTAINERS 2 <br />OT GENERAL MINERAL! GENERAL PHYSICAL <br />PT PE UNPRESERVFD <br />OT INORGANIC CIIEMICAJ. METALS <br />PT INORGANIC CHEMICAL METALS <br />PT CYANIDE <br />P*r NITROGEN FORMS <br />PT TOTAL SULFIDE <br />Zm NITRATE I NITRITE <br />PT TOTAL ORGANIC CARBON <br />PT TOX <br />PT CHEMICAL OXYGEN DEMAND <br />PtA PHENOLICS <br />40.1 V VIAL TRAVEL BLANK <br />40ml VOA VIAL <br />OT EPA 413.1,413.2,418.1 <br />PT ODOR <br />RAD OL <br />BAC TIZRIOLOGICAL <br />40 ml VOA VA 94 <br />OT EPA 509160816080 <br />01*EPA SIS.118150 <br />OT EPA 525 <br />OT EPA 525 TRAVEL BILANY <br />100.1 EPA 547 <br />100m1 EPA 531.1 <br />OT EPA 548 <br />9-T EPA 549 <br />OT lil'A 632 <br />12T EPA 9015M <br />QT AMBER <br />A —OZ. JAR <br />32 07- JAR <br />SOIL SLEEVE <br />PCH _VIAL <br />PLA SrICQAC <br />SIR ON <br />ENCORE <br />Sample Numbering Completed By: _ �77) Dale/Time: t <br />A - Actual I C = Corrected IH:MGCS%WPO[lgLA9-000S%FDRMMAMREC2.WPDI <br />The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must he 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.bclabs.com Page 4 of 12 <br />