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-V=TmL Laboratories, Inc. I iu <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1717185 Page 2 of 2 <br /> Bc LABORATORIES INC. COOLER REIPT FORM Page =L=Of f <br /> Submission <br /> SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br /> Fed Ex 0 UPS 0 Ontrac 0 Hand Delivery 0 fee Chest H None 0 Box 0 YES 0 NO 0 <br /> BC Lab Field Service 19 Other 0(Specify) Other 13(Specify)_ W S <br /> Refit fee 1Z Blue fee 0 None 0 Other 0 Comments: <br /> eM avant:7g4 <br /> [Custody Seals None IN Comments: <br /> All samples received? Yes No 0 AN samples containers Intact? Ye.0 No 13 Descriptlon(s)match COC? Yes o No 0 <br /> Emisdvitr. 7 Thermometer ID: <br /> COC Received Container: )AnA Daterrlme <br /> o <br /> 0 YES 0 NO r erature:-(A) -C / (C.) t <br /> Analyst Init 'k;p <br /> E <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS 7_7S 6 1 7 a a- IQ <br /> OTPEUNPRES <br /> 4czl89zl16ox PEtWRES <br /> 2oz Cr" <br /> _RK By" <br /> OT INOWANIC CMUCAL MWAU <br /> ]NORGANKC CUM CAL bWAL9 4oz I On 1 16= <br /> PT CYANIDE <br /> PrNMOGENFOR)a <br /> Vr TOTAL SULME <br /> 2=NITRATE/NITRITE <br /> Fr WAL ORGANIC CARBON <br /> PTCHEMICALOXYGEN DEMAND <br /> ftA�UC§ <br /> 40nd V VD&L TRA M BLANK <br /> 40n1 VOA VUL <br /> EPA 1661 <br /> PrOVOR <br /> BACTEMOLDGICAL <br /> 40 ad VOA VW_504 <br /> OT SPA 5OW"90 <br /> OTIPASL94MM <br /> EP 535 <br /> OTEPA S25TRA BLANK <br /> 40tH EPA 547 <br /> 40ml EPA SXX <br /> Boz EPA 548 <br /> OT EPA 549 <br /> QT EPA 90194 <br /> EPA 8270 <br /> 8az/16=132u AMBER <br /> 80z/16ft132ozjAR <br /> SotLSLZM <br /> PCB VIAL <br /> PLASTICB&O <br /> TEDLARBAG <br /> VERROUSIRON <br /> ENCORE <br /> SKARrKrr <br /> SUMMA CANISTER <br /> ;ample Numbering Completed By: 4" Daten-kne: Bav2l 0612WM6 <br /> k=Actual / c .c ...ted tsaweoemw rornrwtno_MCPHUM&ANNEC-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 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: 1000620792 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 4 of 12 <br />