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i <br /> Laboratories Inc. <br /> i Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1009909 Page 2 of 2 <br /> i Y_ P� e 6 ftI <br /> B—_MPLE-RECEIPT FOIRN1 Re r.Ile, ti} 4criasl9 rS <br /> LA5011 .TC1RIE$INC. - <br /> Uymisske2n PJone 0 <br /> pPIt4r,MH IceGhest other ❑q$peeity) <br /> UPS t Head Delivery 0 Box D <br /> edec:i Express Other O ISPecify) <br /> ,C:L31a field Service� �j <br /> Retrigerant_ Ice Blue Ice gone d CJ <br /> Other 0 comments: <br /> Containers t) None 0 Comments: � <br /> plAstadfSeats Ice Chest w <br /> ®nt 7 Ye. � Inl e <br /> tc canSainers intsct? Yes NoO Descrif ion(sy�ats&+CC)G7 fie`- too GI <br /> AM Esme JUL 1 Z�d6 <br /> i Lll samples tEG¢ivEd?' l°85 Nob Oak.tfirne <br /> Cesntsinsr: Tttssrstameler kO4' <br /> r,0C Received EenSSsivkry: @ rt Ana Init j <br /> E [3 NO ac J c ec <br /> ielaspersture-A <br /> 2 a 6 Y <br /> t t td <br /> d <br /> $Aa1F'i.E C.pyt;AMERS <br /> 07;CrEMERAL RtINERAU GES <br /> FHVSICAL <br /> i P'r PE —SERVER <br /> T G 1C - f ICA as A <br /> p INOR ANI C5M Ml L411EI LS <br /> PT <br /> i N41 I <br /> PT I RSC fORSSS <br /> pTT LS LtI E <br /> a-NI RAT P r4ITR3T. <br /> T T TAL CtRE HC _ <br /> TT <br /> TT tiEMI AL XV-..EPI EF. <br /> P1 PREM LI <br /> rwl YQ T <br /> ♦r4rr1 Y V 1- <br /> & <br /> T PA d6 -dl <br /> PTO R <br /> R..+ LOG L <br /> ER10 6t L k s� <br /> ae ,D v L, d ) <br /> OT P 50916 IMM <br /> EP,ps.1A d <br /> i9A Sl!' <br /> T fir, 'T '.'EL ATI <br /> 100 A 547 - <br /> Mw EP 411.1 <br /> TEPA 6 <br /> S9 <br /> EVA631 <br /> T A 2015h - <br /> iT AME <br /> so AR <br /> kR <br /> i SI EEo f <br /> PCBvBai <br /> r <br /> Ica <br /> tit r <br /> i <br /> ENCORL <br /> Da4s�� <br /> c� <br /> �eMrnanls: iT'ars:��- °_ tt;n<:*.sne Pyr_.. �eQ•r rac..,Fe•,cosn:.t;�,r>;.•, <br /> yaampS:H�m�ruri:r�CQtxrpta;•ae0 3y: <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 /> i All results listed in this report are for the exclusive use of the submitting party.13C 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 />