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Laboratories Inc. ul <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custody and Cooler Receipt Foran for 1717150 Page 2 of 2 <br />:• • 041114 <br />Z l:j ar <br />r <br />SHIPPING INFORMATION <br />Fed Ex 0 UPS 0 Ontrac 0 Hand Delivery 0 <br />BC Lab Field Service lK Other 0 (Specify) <br />SHIPPING <br />CONTAINER� <br />fee Chest 9 None 0 Box 0 <br />Other 0 (Specify). <br />LIQUID <br />YES 0 NO 0 <br />W / S <br />Refrigerant.* foe OF Blue loe ■ None ■ <br />Other ■ <br />Custody SealsI� <br />i <br />e e <br />R u <br />None e <br />I <br />AN samples.:. - NO , AN samples containers .:. _.: a No ■ .: _ . hm(s) match COOZ Yes No 0 <br />■ <br />0 YES ■ NO <br />L-5 <br />t <br />The results in this report apply to the samples analyzed in accordance with the chain ofcustody 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 parry. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third parry interpretation. <br />Report ID: 1000620615 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />