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E <br />E <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custody and Cooler Receipt Form for 1717146 Paae 2 of 2 <br />a 10 1 ; <br />SHIPPING INFORMATION <br />Fed Ex 0 UPS 0 Ontrac 0 Hand Delivery 0 <br />BC Lob Field Service W Other 0 (Specify) <br />SHIPPING CONTAINER FREE LIQUI <br />Ice Chest 0 None 0 Box 0 YES 0 N■ <br />Other 0 (Specffy)- W I S <br />-- <br />Refrigerant: Ice 1W Blue Ice n None 0 Other 0 Comments: <br />Custody Seals <br />None 19 Comments: <br />All samples resolved? i. -!b NoD Allsomples containers intact? Yeso NoD Das=#Fuonfsl match cocz Yesu No 0 <br />COC Received <br />19 YES 0 NO <br />Em"vity: 3=4Contalrw. ThermometerID: 208 6 A <br />c c- <br />"M <br />ISO <br />WPM <br />1111111W <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 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: 1000620496 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />