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c. <br /> Laboratories In <br /> Environmental Testing Laboratory Since 1949 • <br /> Chain of Custody and Cooler Receipt Form for 1800364 Page 2 of 2 <br /> Be tABOPATOMES INC, COO FORM Daffe Of <br /> Subm[ on . <br /> SEGIPPI C IP1F0 AYION <br /> PP[NG CONTAINER FREE I IQVID <br /> Fdd Est G3 uPS O CI 1{eabd ffiCpaarlr 11 Ice K test None 0 Box El YES ® NO 17 <br /> SC Leb F€cGd�erm{� lltlaer GSpec{fy} tir 0 f fyL- s14 <br /> Refiiga�ranQ: Ica Ef BGtre lee N®roe 13 Othea G3 ataente:. <br /> Geaetody Sams r Plorte,�1 Goma ntss <br /> All P 4Ivod7 Yea ka i7 AN a pI�anttRaitets i Y®e Tho[] Desarp 1 h com Yeas I( N. 0 <br /> COC �e 8d tv7ey: Inuat <br /> Thwm.metar Im ADCL p tus <br /> ,ZYESloll? Fejt erataare: { 't: 1 {c •C malvot htTt <br /> SAIMIFLENUMBM <br /> SIN g g 9e <br /> � 4 6 <br /> T <br /> 4�ita�bde64e. e <br /> C <br /> AT,S 1'E6e$ <br /> PT Napo i[MEDLA-9 <br /> PT <br /> `c <br /> eRA • <br /> VtAlL <br /> 4001 V0A E F22: - <br /> OT <br /> 4 <br /> IARMGWAL <br /> �I <br /> 91 <br /> 4D®tom W7dL� <br /> A S14 <br /> A Sz <br /> 4t ASLI <br /> s4s r <br /> 91 EM-41— <br /> QT <br /> MA lD4 <br /> 0THFA8M__ <br /> ezdsd <br /> 0 t3 <br /> SGILSUMVZ <br /> PLASUCIRAG <br /> a <br /> 31mcm <br /> US—MART <br /> t� <br /> Comm"Ms <br /> pfe N pfeted BY C me T.11 s <br /> a — a..eaaa r r.s P.nerane®d � • <br /> The results in this report applv to the samples analyzed in accordance with the chain o%custody document.This analytical report must he 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: 1000693097 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 4 of 12 <br />