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t_ Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1717199 Page 2 of 2 <br /> BC LABORATORIES INC. COOLER R EIPT FORM Page Of <br /> Submission#: <br /> SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br /> Fed Ex ❑ UPS❑ Ontrac❑ Hand Delivery ❑ Ice Chest® None ❑ Box ❑ YES ❑ NO ❑ <br /> BC Lab Field Service Bl Other❑(Specify) Other ❑(Specify) W / S <br /> Refrigerant: Ice OF Blue Ice❑ None❑ Other❑ Comments: <br /> Custody Sealsh�x$ n=. Crf>ti(lers'R None® Comments: <br /> t/ Z <br /> All samples received? Yes No❑ All samples containers intact? Yea No❑ Description(a)match COC? No J6 <br /> COC Received Emissivity: Container.T Themlometer ID: _ pm® ® 0 <br /> 19 YES ❑NO Te erature: (A) -C / (C 'C, at btk <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> t 2 a 4 B s 7 8 1 a to <br /> TPRUNPRES <br /> 4oz/8oa/16as PEUNPRE8 <br /> ?uz Cr" <br /> OT RGANIC CWMICAL METALS <br /> INOR AMC 1CALNETALS4oz/Ooz/16oz <br /> P3'CYANID <br /> ETNrrROGENFORM <br /> PrTCYrALSULIWE <br /> 2oz.NrrRA,7E/NrrRrM <br /> PT TOTAL ORGANIC -LaLE ay L&TRIBUTION <br /> PT OXYGENDnL#,ND <br /> PHENOLICS <br /> Oral V0A VIAL TRAVEL BLANK <br /> 40ml VOA VIAL <br /> RP 1"4 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BA ICAL <br /> 40 m1 VOA VW.-504 <br /> gj EPA SOM88080 <br /> BPA SI5.1Bin _ 't <br /> OT RPA S25 <br /> BPA 525 TRAVEL BLANK <br /> 40mlEPA 50 <br /> 40m1 EPA 531.1 <br /> On EPA 548 <br /> OT EPA$49 <br /> OT EPA SO15M <br /> QT RPA 8270 <br /> Sea/16m/32oz AMBER <br /> 8oz/16oz/32az AR <br /> SOILSLEBVB <br /> PCB VL►L <br /> PLASTIC BAG <br /> TEDLARBAG <br /> FERROUS IRON <br /> ENCORE <br /> SMART Krr <br /> SUMMA CANUM <br /> Comments: <br /> Sample Numbering Completed By: Date/Thne: pnr 21 os/2areote <br /> A-Actual / C s Corrected tsawrpeotwwaewkcrtue_ ml <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: 1000620894 4100 Atlas Court Bakersfield,CA 93308 (661)3274911 FAX(661)327-1918 www.bclabs.com Page 4 of 12 <br />