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Laboratories "nal <br />J'. <br />MewEnvironmental Testing Laboratory Since 1949 <br />Chain of Custody and Cooler Receipt Form for 1720414 Page 2 of 2 <br />HU LAnUKA t UmtS IN(:. <br />t:UUILLK K t:tn't f UKIVI <br />raga <br />I UT <br />Submission #: 0 <br />SHIPPING INFORMATION <br />Fed Ex ❑ UPS ❑ Ontrac ❑ Hand Delivery ❑ . <br />BC Lab Feld Service T Other ❑ (Specify) <br />SHIPPING CONTAINER <br />Ice Chest (K None ❑ Box ❑ <br />Other ❑ (Specify) <br />FREE LIQUID <br />YE(q NO ❑ <br />% S <br />Refrigerant: Ice Blue Ice ❑ None ❑ <br />Other ❑ <br />Comments: <br />Custody Seals <br />1ie.Cfies#`'� '_ <br />GottainersQ.. <br />None Comments: <br />All samples received? Ye No O All samples containers intact? Yes �N0 ❑ Description(s) match COC? Yes <br />No ❑ <br />COC Received Emissivity: <br />RYES ❑ NO Temperature: (A) <br />2Container: <br />J <br />Ve Thermometer ID: Date/Time'-0 <br />'C / (C ) Lie O 'C Analyst Init <br />0 <br />.. <br />SAMPLE CONTAINERS <br />7 2 <br />10TFEUNPRES <br />3 <br />SAMPLE NUMBERS <br />4 6 6 7 <br />8 <br />9 10 <br />_ <br />4ozlSoz/16Dz PEUNPRES <br />2oz Cr" <br />T INORGANIC CHEMICAL METALS <br />INORGANIC CI3EtV1ICAL METALS 4oz / Soz / 16oz <br />PT CYANIDE <br />PT NITROGEN FORMS <br />PT TOTAL SULFIDE <br />2oz NITRATE / NITRITE <br />PT TOTAL ORGANIC CARBON <br />PT CHEMICAL OXYGEN DEMAND <br />PtA PHENOLICS <br />40701 VOA VIAL TRAVEL BLANK e <br />40ml VOA VIAL <br />T EPA 1664 <br />PT ODOR <br />RADIOLOGICAL <br />BACTERIOLOGICAL <br />40 ml VOA VIAL, SO4 <br />T EPA 508/608/8080 <br />T EPA 515.118150 <br />T EPA S25 <br />T EPA 52S TRAVEL BLANK <br />4, EPA 547 <br />' <br />40m1 EPA 531.1 <br />Boz EPA 548 t <br />OT EPA S49 <br />T EPA SOLSM _ <br />T EPA 8270 <br />Boz/16oz/32m AMBER <br />8oz / 16oz / 32oz JAR <br />SOIL SLEEVE <br />PCB VIAL. <br />PLASTIC BAG <br />TEDLARBAG <br />FERROUS IRON <br />ENCORE <br />SMART HIT <br />SUMMA CANISTER <br />Comments: <br />=$ampie:Num-b_e—ir ng-CompletedBy <br />A = Actual / C = Corrected <br />vzt_osrzaizois..—__ <br />IsawrmAwo evar.rnue twcsr0an SISA tREC.ar 201 <br />The results in this report apply to the samples analyzed in accordance with the chain ofcusiody 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: 1000631798 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />