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Laboratories Inc.ntal Testing Laboratory Since Laboratories <br />M��F.virotnmMtg 1949� <br />Chain of Custodv and Cooler Receipt Form for iammn Pana 2 of 2 <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 we 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: 1000543176 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 23 <br />BC LABORATORIES INC. <br />COOLER RECEIPT FORM <br />Page <br />Of <br />Submission #: <br />SHIPPING INFORMATION SHIPPING CONTAINER <br />Fed Ex 0 UPS 0 Ontrac 0 Hand Delivery 0 Ice Chest� None 0 Box 0 <br />BC Lab Field Service )q' Other 0 (Specify)_ Other (Specify) <br />FREE LIQUID <br />NO 0 <br />W S <br />Refrigerant: Ice 0 Blue Ice 0 None 0 <br />Other 0 Comments: <br />Custody SealsContatrers <br />V-A <br />None Comments: <br />All samples received? Yes NoO All samples containers intact? Yes Description(s) match COC? Yes No ❑ <br />COG Received Emissivity: I <br />' YES 0 NO Temperature: (A )(C <br />SAMPLE CONTAINERS <br />T PE UNPRES <br />Container: Thermometer ID: tlDate/Time <br />I C <br />SAMPLE NUMBERS <br />7 <br />Analyst Init <br />a 9 <br />..I <br />in <br />4.. / So. / 16.z PE UNPRES <br />2oz Cr" <br />INORGANIC CHEMICAL METALS <br />INORGANIC CHEMICAL METALS 4=/ 8oz hoz <br />PT CYANIDE <br />PT NITROGEN FORMS <br />PPTTOTAL S ring <br />2oz. NITRATE /NITRITE <br />PT TOTAL ORGANIC CARBON <br />PT CHEMICAL OXYGEN DEMAND <br />PIA PHENOLICS <br />40.1 VOA VIAL TRAVEL BLANK <br />40.1 VOA VIAL <br />T EPA 1664 <br />PT ODOR <br />RADIOLOGICAL <br />BACTERIOLOGICAL <br />40.1 VOA VIAL- 504 <br />TEPA SGS/608/8080 <br />QT EPA 51.5.1/8150 <br />QT EPA 525 <br />9-1 EPA 525 TRAVEL BLANK <br />40.1 EPA 547 <br />40ml )EPA 531.1 <br />Soz EPA 549 <br />T EPA 549 <br />• EPA 8015M <br />• EPA 8270 <br />Soz / 16m / 32m AMBER <br />,80-/16.z/32o,.JAR <br />SOIL SLEEVE <br />-- <br />PCB VIAL <br />PLASTIC BAG <br />TEDLAR DAG <br />FERROUS IRON <br />ENCORE <br />-- <br />'MART KIT <br />;UMMA CANISTER <br />Irnments: <br />Imple Numbering Completed BY:— <br />------------ I <br />QatelTime:— <br />Rll �21M231�Mlr <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 we 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: 1000543176 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 23 <br />