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L <br />L <br />j <br />E <br />k <br />L <br />I <br />j <br />H <br />n <br />Laboratories, Inc. <br />Environmental Testing Laboratory Since 1949 <br />Chain of rimfniriv and Cninilpir Rpicalint Form for 1322798 Paae 2 of 3 <br />8C LABORATORIES INC. COOLER RECEIPT FORM Re-- No. 15 07101113 Page — Of <br />Submission 3-o'g-l.aL — <br />SHIPPING CONTAINER FREE LICIUID <br />SHIPPING INFORMATIONFederal YES 0 NO 0 <br />Express 0 UPS 0 Hand Delivery lee Chest PV None El Box 0 <br />BC Lab Field Service Vi Other 0 JSpec1fy)_ Other 0 (Specify) <br />Refrigerant: -Ice tn Blue Ice 0 None D Other D Comments: <br />-Custody Seals �Contallone Comments, <br />All samples received? Yesj-No.o All samples containers intact? Yes 9t --NQ 0 Descriptum(sl match COC? Yet -01 No 0 <br />COC Received Emisslufty-()� Container.Themometer. JD: 2-M Daterrgm.)M�716 2026 <br />)ZIYES 0 NOTemperature. (A c 1 C Analyst Init "22 <br />SAMPLE NUMBERS <br />SAMPLE CONTAINERS4 5 6 7B 9 t0 <br />GENERAL MIKERAII GENERAL C, <br />UNPRF-SERVED--13)'I_ C- C- <br />�TNORGAMCCEWENUCALMETALS <br />OT <br />PYOPIE <br />PT ORGAMC CHEMICAL METALS <br />PT CYAMME <br />PT NITROGEN FORMS <br />PT TOTAL SULFIDE <br />2mz NITRATE I NtTRrrE <br />PT T(TrAL ORGANIC CARBON <br />rr TOX <br />p1r CHEMICAL OrYGEN DEMAND <br />PLA NIENOLICS <br />40=1 VOA VIAL TRAVEL BLANK 1.3 131 1 31 1pf 1 31 13 431 3, F'r .3 <br />40nd VOA VIAL <br />OT EPA 4L3 -L 413-1 418.1 <br />PT ODOR <br />RADIOLOGICAL <br />BACTERIOLOGICAL <br />4B.dVOA VIAI-5114 <br />OT EPA 50816088080 <br />QT EPA 5 <br />TEPA -Z5 <br />QT EPA 525 TRAVEL BL&NK <br />180W CPA, 347 <br />1001111 EPA 53LI <br />OT EPA 549 <br />OT EPA 549 <br />• EPA 02 <br />• EPA 11015M <br />OT'kMZCR. <br />B OZ. JAR <br />32 OZ- JAR <br />SOELSLEEVE <br />PCB VIAL <br />PLASTIC BAG <br />FEPROUSIRON <br />ENCORE <br />SMART KIT <br />Summa Canister <br />Comments: <br />Sample Numbering Completed y:_ Daterrime: 05 i nn nnr51FofjMSISAXff1EC151 <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 />4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bcjabs.com Page 4 of 58 <br />