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Environmental Testing Laboratory Since 1949 <br />cnain of custody and Cooler Receipt Form for 1409750 Page 2 of 3 <br />SC LABORATORIES INC. COOLER RECEIPT FORAM Rev. No. IS 07101/13 Page . Of <br />Submission'#: 4[— % D <br />y <br />SHIPPING INFORMATION <br />SHIPPING CONTAINER <br />FREE LIQUID <br />Federal Express ❑ UPS ❑ Hand Delivery <br />Ice Cho None ❑ Box O <br />YES © NO ❑ <br />BC Leh Field Service Other ❑ (Specify) <br />Other ❑ (Specify) <br />Refrigerant: " Ice Blue ice ❑ None ❑ Other ❑ <br />Comments: <br />Custody Seals` <br />lt� 'i iil�lS� <br />None <br />Comments: <br />AM' <br />AU samples received? Yes No D ' All samples containers Intact? Yps ❑ Descriptionis) match COC) Yes ❑ No <br />COC ReCelved Emissivky: container. <br />/—No <br />G Thermometer <br />Data/Tkne.T:Z�4 <br />,LYES ❑ NO0 <br />Temperature: i A) �. V <br />rl�D: <br />!C ! ( C ► � • v •c <br />4-lyst If* <br />• <br />SARtPLE NUNiBt7iS <br />. <br />SAMPLE CONTAINERS <br />2 a <br />4 <br />. <br />jQ�GVaWALMDDMAIJGZNZRAL <br />� • Ere � N R�1 Pr -�__�_�_��i <br />C „ . • ` �:�����i><i►�iii'is-'����:��'iafli <br />lt� 'i iil�lS� <br />`i 1 Iia iyt�� • a :. D,�i:���le <br />'�® P <br />The results in this report apply to the samples analyzed in accordance with the chain ojcustody 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: 1000237122 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 58 <br />