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Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1734016 Page 2 of 2 <br /> BC LABORATOMES WC. COOLER RECEIPT FOFtM Page Of <br /> Submission#: <br /> SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br /> Ped Ex'0 UPS El 0 Hand Delivery ❑ Ice Ch g, Morse C sox ❑ NO Q <br /> f9C k Field Se (Specify)Other❑I&pfYB Other 0 ISpedfYI / $ <br /> Reftl Ice J" Blue fee❑ Morse C Either ID Commentsz <br /> Custody$ zm <br /> _ ;.� �er � ltlasaae Comrrssrats; <br /> AllsonVies received? YZT NOD AllswnpicsicantairourrinMri Y Nu D Deewrfpffimts}match cm Y No 07 <br /> COC ReceivedItYr Container J� <br /> gMa aameta Qstad7ime�� <br /> 'FS ❑NO Tmperatm- A -C (c { aC at fit <br /> SAMPLE CONTARMS <br /> sAwU Numagm <br /> zu <br /> P� <br /> ce, <br /> tAt CWWAU <br /> Coosa <br /> SLLM <br /> a <br /> I <br /> Y0,1 <br /> OT rerA <br /> Ps ObOR <br /> Mcrwolboc <br /> t <br /> 4qgd VGA <br /> AsT <br /> tiPA EPA49mi PA S47 <br /> Sos XPASO P <br /> SPA sd9 • <br /> EPA D <br /> A <br /> 8=B <br /> 8=!1 ABk. <br /> L Sam <br /> R <br /> s <br /> 1 <br /> e6 <br /> VIA Ail' <br /> Icmr"rra nu; .. <br /> Sample NCmpleied Br 17atef'rlm¢, nw as re <br /> A ea AICWig t C m 6 ed <br /> _ tr0 <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 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: 1000680253 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 4 of 23 <br />