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LaboratoriesI, <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1730712 Page 2 of 2 <br /> BC LABORATORIES INC. COOLER RECEIPT FORM Page Of <br /> Submission#: SHIPPING INFORMATION SHIPPING.CO I WAINER -- FREE LIQUID <br /> Fed Ex 0 UPS 0 Ontrac 0 Hand Delivery 0 ice Chest);31 None EI Box 0 YES-0 NO 0 <br /> BC Lab Field Service Other 0(Specify)_ Other 0(Specify) $ <br /> Refrigerant: Ice Blue Ice 0 None 0 Other 0 Comments: <br /> Custody Seals Ike Cfiest L7 Cihtaipers <br /> 0 <br /> 1n None Z' Comments: <br /> [in qYes-mi'p <br /> 0 <br /> ekil samples received? Yes No 0 All samples containers intact? Yes NoO Description(s)match COC? Ye. ❑ <br /> ---- ----Tma <br /> COC Received Emissivity: 6 Container: Thermometer ID: Date/Time 1017-71n voo <br /> YES 0 NO Temperature: f A I -C (C I 1_7,- -C Analyst Wt <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS 1 2 3 4 5 6 7 a 9 10 <br /> ?T PE UNPRES <br /> loz/Boz/16oz PE UNPRES <br /> SLY' <br /> 2T INORGANIC CKEWCAL METALS <br /> INORGANIC I.I[CAL METALS4.I Sgf <br /> ?T CYANIDE <br /> PT NITROGEN FORKS <br /> PTTOTAL SULFIDE <br /> NITRATE I NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> l0nd VOA VIAL TRAVEL BLANK <br /> 10m1 VOA VIAL <br /> QT EPA 1664 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> tO oil VOA VIAE-504 <br /> 2T EPA 508/60818080 <br /> W EPA 515.1113150 <br /> OT EPA 525 <br /> DT EPA 525 TRAVEL BLANK <br /> 10in1 EPA 547 <br /> 10a1 EPA 53LI <br /> 3oz EPA 548 <br /> �T EPA 549 <br /> �T EPA 8015M <br /> 2T EPA 8270 <br /> 3ez/16oz/32oz AMBER <br /> iozlldoz/32ozJAR <br /> ;OIL SLEEVE <br /> ?CB VIAL <br /> ?LASTIC BAG <br /> rEDLAR BAG <br /> ,ERROUS IRON <br /> 7NCOU- <br /> 3MART KIT <br /> MMMA CANISTER <br /> ornments: t A I <br /> ample Numbering Completed By: Date/Time: d' 4PU R.21 0512312016 <br /> Actual / C=Corrected tS-.IWPO.dW.Od ,(.tkLAkDOCSWORMMAMEC. 201 <br /> The results in this report appit,to the samples anal'vzed in accordance with the chain ofeusloatv document.This analytical report must he reproduced in its entirely. <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: 1000670826 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bcjabs.com Page 4 of 23 <br />