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Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1403811 Page 2 of 2 <br /> BC LABORATORIES INC. -COOLER RECEIPT FORM Rev.No.15 07/01/13 Page Of <br /> Submission#: - <br /> -SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br /> Federal Expres's*El - UPS 0 Hand Delivery lee Che-t-d None 0 Box 0 YES 0 NO 0 <br /> BC Lab Fleld.se.rvicb Other 0(Specify) Other (Specify)_ <br /> Refrigerant: lee Blue Ice 0 None 0 Other 0 Comments: <br /> Custody SealsfcYelesf❑. Gontarners = None Comments: <br /> All samples received? Yes No 0 All samples containers intact? Yes��No 0 Description(s)match COC? Yes No 0 <br /> 1 40 <br /> COC Received Emissivity: 0A 2 Containan"fe C-/14Wartnorrieter ID: 1,01 Dat.M.6!;?�qJI!E "'15' <br /> YES 0 NO <br /> Temperature: *C I (C )d_ *c Analyst <br /> I!, <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS IF------T— Z 3 4 5 6 7 18 9 10 <br /> QT GWIER&L WWRALI G01101AL <br /> 0TINORGANIC COMICAL METALS <br /> Fr INORGANIC CH)MUCAL METALS <br /> PT CYANIDE <br /> PT?WMOCAN 1?0= <br /> PT TOTAL SOLFIDE <br /> 2=14rrVA=/Nrl1= <br /> Pr TOTAL ORGANIC CARBON <br /> Frmx <br /> Fr CRIWICAL OXYGEN DEMAND <br /> PEA PHWOLICS I <br /> 'Mad VGA VIAL TRAVEL BLANK <br /> 40nd V01 VIAL <br /> OT EPA 413-L 413 418.1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL,$04 <br /> OT BPA SOIV60LSOSD <br /> QT EPA 5251=50 <br /> EPA 525 <br /> QT EPA 525 TRAVEL.BLANK <br /> 10WEPA R7. <br /> 100ml IU-A 53L1- <br /> TEPA SIS <br /> 3LI*TWASIS <br /> OTEPA S49 <br /> OT EFA 02 <br /> QTkPA801W <br /> OTAMMER <br /> 3 Oa-JAR <br /> 1207- <br /> K%VIAL <br /> .L&MCBAG <br /> 7MMOUS IRON <br /> r;CORE <br /> ;MART BTT <br /> ht[titMR Canister <br /> I'Z 17g- e,77. L1-'Z" <br /> The results in this report apply to the samples analyzed in accordance with the chain of custody document.This anaJyncal 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.bclabs.com Page 4 of 14 <br />