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MIND <br /> NEW �Envirotnme�nt�allestingories Inc�1949 <br /> Laboratory Since <br /> Chain of Custody and Cooler Receipt Form for 1511589 Page 2 of 2 tt <br /> BC LABORATORIES INC. COOLER RECEIPT FORM Rev.No.18 09/04114 Page L Of f <br /> Submission#: 16 —1158`1 <br /> SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br /> Federal Express ❑ UPS O Hand Delivery ❑ fee Chest❑ None O Box tRf YES ❑ NO O <br /> BC Lab Field Service K Other O(Specify) Other ❑(Specify) <br /> Refrigerant: Ice❑ Blue Ice❑ None IP Other❑ Comments: <br /> Custody SealsIce C�e.tO Containers 0 None 0 Comments: <br /> All samples received? Yes Pk No O All samples containers intact? Yes F, `N�"oo C3 Description(s)match COC? Yes K No 0 <br /> COC Received Emissivity: 1l,)-- Container�u�"ua. Thermometer ID: _ Datemme 1 1.5 <br /> ❑YES ❑NO U 23��`� <br /> Tem erature: (A I "C ! (C I Z 'C Analyst[nit <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> t 2 3 4 5 6 7 18 9 10 <br /> T GENERAL MINERAL GENERAL <br /> PT PE UNPRESERVED <br /> T INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> los.NITRATE t NETRrm <br /> PT TOTAL ORGANIC CARBON <br /> PT TOX <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS- <br /> 40mi VOA VIAL TRAVEL BLANK <br /> 40.1 VOA VIAL <br /> T EPA 413.1.413.1418_1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL-504 <br /> T EPA 508/60818080 <br /> T EPA 515.7/8150 <br /> T EPA 525 <br /> T EPA 525 TRAVEL BLANK <br /> 40ml EPA 547 <br /> 40m1 EPA 531.1 <br /> Boz Amber EPA 548 <br /> T EPA 549 <br /> T EPA 632 <br /> T EPA 8015M <br /> T AMBER <br /> 8 OZ.JAR <br /> 32 OZ.JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> FERROUS IRON <br /> ENCORE <br /> SMART KIT <br /> Summa Canister <br /> Comments: <br /> Sample Numbering Completed By: Date/Time: ts:iwvoodwordrerrecntaa-oocSlFORMSISAMaec) <br /> A=Actual l C=Corrected <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 /> Report ID: 1000356122 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 4 of 29 <br />