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Laboratories, Inc. — �u <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1705308 Page 2 of 2 <br /> Fed FBC LABORATORIES INC. COOLER RECEIPT FORM page Of <br /> Submission#: L-7- <br /> SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br /> ExEl UPS 0 Ontrac 13 Hand Delivery 0 ice Chest)( None 0 Box 0 YES NO 0 <br /> BC Lab Field Service Other 0(Specify) Other 0(Specify) S <br /> Refrigerant: l6e..)( Blue Ice 0 None 0 Other 0 Comments: <br /> di'6'14c 6� None <br /> Custody Seals lioii6 Comments: <br /> �S' <br /> All samples received? Yes No Cl All samples containers intact? Yes� <br /> SL No 0 Descriptom(s)match COC? Yes No 0 <br /> COC Received Emissivity:Q Container: PQ Thermometer IMAO'4— Dateffime2�21315 <br /> YES El NO Temperature: (A) -C I (C I C Analyst Ini' <br /> I SAMPLE NUMBERS <br /> SAMPLE CONTAINERS 1 2 3 4 5 6 7 8 9 10 <br /> QT PE UNPRES <br /> 4oz/Soz/16oz PE UNPRES <br /> 20Z cr" <br /> QT INORGANIC CHEMICAL METALS <br /> INORGANIC CHEMICAL METALS 4oz 8ez 16Dz <br /> PT CYANIDE <br /> PT NITROGEN FORMS- <br /> PT <br /> ORMSPT TOTAL SULFIDE <br /> 2oz.NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> 40ml VOA VIAL TRAVEL BLANK <br /> 40mi1 VOA VIAL W, <br /> QT EPA 1664 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL-504 <br /> QT EPA 508160818080 <br /> OT EPA 515X11150 <br /> OT EPA 525 <br /> OT EPA 525 TRAVEL BLANK <br /> 40ml EPA 547 <br /> 40ml EPA 531.1 <br /> Boz EPA 548 <br /> QT EPA 549 <br /> OT EPA 80ISM <br /> OT EPA 8270 <br /> 8oz l6oz/32oz AMBER <br /> 80. 16oz/32..JAR <br /> SOIL SLEEVE <br /> PCO VIAL <br /> PLASTIC BAG <br /> ,TEDLARBAG <br /> FERROUSIkON <br /> ENCORE <br /> SMART KIT <br /> SUMMA CANISTER <br /> ,omments: <br /> ;ample Numbering Completed By: DatelTime: Re,21 05123/2016 <br /> % = Actual / C = Corrected ISAWPD,,lW,,dP,,(ecIILA._WCSIIO..SISAMRECII-201 <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: 1000580354 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 4 of 14 <br />