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C <br />u <br />Laboratories, Inc. <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custodv and Cooler Receipt Form for 1607900 Paae 2 of 2 <br />The results in this report rrpply to the samples onalv_ed in accordance toith the chain ofeusto4t, document. This analytical report must he reproduced in ils 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: 1000462677 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />SC LABORATORIES INC. COOLER RECEIPT FORM Page Of <br />_ <br />Submission #: d <br />SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br />Fed Ex ❑ UPS ❑ Ontrac ❑ Hand Delivery ❑ Ice Chest None ❑ Box ❑ YES ❑ NO ❑ <br />BC Lab Field Service � Other ❑ (Specify) Other ❑ (Specify) <br />Refrigerant: Ice Blue Ice ❑ None ❑ Other ❑ Comments: <br />Custody Seals <br />Ice Chest ❑ <br />Containers ❑ <br />7 <br />None 1 Comments: <br />All samples received? Yes No ❑ All samples containers intact? Yes No ❑ Description(s) match COC? Yes No ❑/- <br />COC Received Emissivity: 0-1 -- Container: Thermometer ID: Z08'-Date/Timegv'� <br />ES ❑ NO Temperature: (,A) °C ! (C ) j)r� °C Analyst Inst <br />SAMPLE CONTAINERS SAMPLE NUMBERS <br />7 2 3 4 6 9 <br />6 7 a 10 <br />T PE UNPRES <br />4oz / Soz / 16 -PE UNPRES <br />20z Cr" <br />T INORGANIC CHEMICAL METALS <br />INORGANIC CHEMICAL METALS4oz / Soz / 160z <br />PT CYANIDE <br />PT NITROGEN FORMS <br />PT TOTAL SULFIDE <br />2oa. NITRATE / NITRITE <br />PT TOTAL ORGANIC CARBON <br />PT CHEMICAL OXYGEN DEMAND <br />PIA PHENOLICS <br />40mi VOA VIAL TRAVEL BLANK <br />40nd VOA VIAL <br />T EPA 1664 <br />PT ODOR <br />RADIOLOGICAL <br />BACTERIOLOGICAL <br />40 <br />ad VOA VIAL -504 <br />T EPA 508/6088080 <br />T EPA 515.1/8150 <br />T EPA 525 <br />T EPA 525 TRAVEL BLANK <br />40nd <br />EPA 547 <br />40ml <br />EPA 531.1 <br />Boz <br />EPA 548 <br />T EPA 549 <br />T EPA 8015M <br />T EPA 8270 <br />Boz / I6oz /32oz AMBER <br />Sm / 16oz / 32oz JAR <br />SOIL SLEEVE <br />PCB VIAL <br />PLASTIC BAG <br />TEDLAR BAG <br />FERROUSIRON <br />ENCORE <br />SMART KIT <br />SUMMA CANISTER <br />omments: <br />ample Numbering Completed By: DatelTime: Rev 20 07124!2075 <br />. = Actual ! C = Corrected <br />IS:tWPC°cIW°e0PelleetLLAO DOCS%FORMMAMREC1e° 201 <br />The results in this report rrpply to the samples onalv_ed in accordance toith the chain ofeusto4t, document. This analytical report must he reproduced in ils 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: 1000462677 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />