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Laboratories, ".,. I <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1708451 Page 2 of 2 <br /> 8C LABORATORIES INC. COOLER RECEIPT FORM rage yrI <br /> --j <br /> Submission#: <br /> I <br /> SHIPPING INFO MATION SHIPPING CONTAINER FREE LIQUID <br /> Fed Ex 0 - UPS 0 Ontrac 0 Hand Delivery 1:1 Ice Chest X None C] Box 11 YES NO 0 <br /> EIC Lab Field Service Other 0(Specify)— Other 0(Specify)— <br /> Refrigerant: Ice, Blue Ice 0 None 11 Other 0 Comments: <br /> S <br /> Comments: <br /> " <br /> Custody Seals 2o ii None C <br /> All samples received? Yes Noo All samples containers intact? Yes kf No 0 Description(s)match COC? Yes No 0 <br /> COC Received Emissivity: Container: Thermometer ID: Date Time 145 <br /> NCYES El NO Temperature: (A) C -C Analyst Ini <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS 2 34 5 6 7 a s 10 <br /> QT PE UNPRES <br /> 4o./go./16o.PE UNPRES <br /> Zoz Cr*' <br /> OT INORGANIC CHEMICAL METALS <br /> INORGANIC CHEMICAL METALS 4oz/Soz/16- <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> Zoz.NITRATE I NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> 40.1 VOA VIAL TRAVEL BLANK <br /> 40.1 VOA VIAL <br /> QT EPA 1664..., <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 int VOA VIAL.504 <br /> OT EPA 508/608/8080 <br /> QT EPA 515.1/8150 <br /> QT EPA 525 <br /> QT EPA 52S TRAVEL BLANK <br /> 40ral EPA 547 <br /> 40.1 EPA 531.1 <br /> 8 oz EPA 548 <br /> QT EPA 549 <br /> QT EPA 8015M <br /> QT EPA 8270 <br /> go./16-132-AMBER <br /> Soz/16oz/32o.JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> TEDLARBAG <br /> FERROUS W Op'N <br /> ENCORE <br /> SMART KIT <br /> SUMMA CANISTER <br /> Comments: <br /> Sample Numbering Completed By: <br /> A = Actual I C = Corrected <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 parry, BC Laboratories,Inc.assumes no responsibility for report alteration,separation,detachment or third party interpretation. <br /> Report ID: 1000592311 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 4 of 16 <br />