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Laboratories, Inc. <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custody and Cooler Receipt Form for 1725934 Page 2 of 2 <br />The results in this report apply to the samples analyzed in accordance with the chain ofcuslody document. This analytical report must be reproduced in its entirely. <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: 1000652552 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bdabs.com Page 4 of 12 <br />BC LABORATORIES INC. COOLER RECEIPT FORM <br />Page j'=Of- <br />Submission #: <br />SHIPPING INFORMATION <br />0 <br />Fed Ex 0 UPS 0 Ontrac 0 Hand Delivery ❑ <br />BC Lab Field Service Other D (Specify)_ —1 <br />I'd <br />SHIPPING CONTAINER <br />Ice Chest)2r None 0 Box 0 <br />Other 0 (Specify) <br />FREE LIQUID <br />YE LNO NO 0 <br />$ <br />Refrigerant; Ice Blue Ice 0 None 0 <br />Other 0 Comments: <br />Custody SealsP <br />i'.. 7-'r- <br />iiLtixiiw . iko� 11 <br />h <br />None Comments: <br />All samples received? Yes NoAll samples containers intact? Y NoO Description(s) match COC? Y-116".. 0 <br />.[3 <br />Coe Emissivity: 0-Ctj <br />Received <br />P"YES El NO Temeeraturs: (A) <br />Container: ra Thermometer ID: fza�2 me �) LIS VX <br />DateM <br />-C I (C CAnalyst lntt <br />SAMPLE CONTAINERS <br />SAMPLE NUMBERS <br />6 7 <br />3 4 r — <br />a 9 to <br />OT PE UNPRES <br />4oz/80./I6*z PEUNPRES <br />2oz Cr" <br />OT INORGANIC CHEMICAL METALS <br />INORGANIC CHEMICAL METALS 4oz got I 16oz <br />PT CYANIDE <br />PT NITROGEN FORMS <br />PT TOTAL SULFIDE <br />2oz. NITRATE / NITRITE <br />Pr TOTAL ORGANIC CARBON <br />PT CHEMICAL OXYGEN DEMAND <br />FU, PHENOLICS <br />40ml VOA VIAL TRAVEL BLANK <br />40ml VOA VIAL <br />OT EPA 1664 <br />PT ODOR <br />RADIOLOGICAL <br />BACTERIOLOGICAL <br />40 ml VOA VIAL -504 <br />QT EPA 508160818080 <br />OTEPA SIS.118150 <br />QT EPA 525 <br />QT EPA 525 TRAVEL BLANK <br />40ml EPA 547 <br />40.1 EPA 531.1 <br />Soz EPA 548 <br />OT EPA 549 <br />OT EPA SOISM <br />QT EPA $270 <br />SmIl6oz/32oz AMBER <br />8azlI6Dzl32oz7AR <br />SOIL SLEEVE <br />PCB VIAL <br />PLASTIC BAG <br />TEDLAR BAG <br />FERROUS IRON <br />ENCORE <br />SMART Krr <br />SUMMA CANISTER <br />,omments: 17 <br />Sample Numbering Completed By: <br />D- A -".I I n <br />DatelTime: Rai 21 0512312016 <br />(s-XWPaa,jW,,dPrlmAtAs DoCsVaWM&AMXECrw 201 <br />The results in this report apply to the samples analyzed in accordance with the chain ofcuslody document. This analytical report must be reproduced in its entirely. <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: 1000652552 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bdabs.com Page 4 of 12 <br />