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Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1304235 Page 2 of 2 <br /> BC LABORATORIES INC. COOLER RECEIPT FORM Rev.No.13 08/17112 Page—L Of <br /> Submission#A - �j oZ 35 <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> FRC -b <br /> Express ❑ UPS❑ Hand Delivery ❑ Ice Chaste None ❑ <br /> Field Service Other❑(Specify) Box Other ❑(Specify) <br /> Refrigerant: Ice_ _ _ Slue ace❑ .. ...None❑ Other_❑:.. .Comments: <br /> Custody Seals fce.Chest❑ Containers ED None Comments: <br /> All samples received? YeslA No❑ All samples containers intact? Yes No❑ Description(s)match COC? Yes4 No p <br /> COC Received Emissivity_ 0.9 Container Q(M Thermometer ID: 907 Datemme <br /> r�YES ❑ NO <br /> Temperature: i A I �A' °C I i C ) UL.t 'C Analyst ink d1�UJ <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> 7 2 3 < 5 6 7 8 9 70 <br /> OT GENERAL MINERAL/GENERAL PHYSICAL <br /> PT PE UNPRESERVED <br /> T INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANmE <br /> Pr NITROGEN POAMS <br /> Pr TOTAL SULFIDE <br /> 2oz NITRATE 1 NrrRrfE <br /> Pr TOTAL ORGANIC CARBON <br /> PTTOX <br /> Pr CEEMiCAL OXYGEN DEMAND <br /> PLA PBENOLICS <br /> 40od VOA VIAL TRAVEL BLANK ,r� R U <br /> 4Dml VOA VIAL fl r 3 a l ! 13 1 () 13 1 L 1 t <br /> T EPA 413.1 4 418.1 <br /> Pr ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 oil VOA VIAL-3D4 <br /> T EPA 51HIMUt808D <br /> T EPA StS.L825a <br /> T EPA s2s <br /> T EPA 513 TRA VEL BLANK <br /> I00ad EPA 547 <br /> 100mi EPA 011 <br /> TEPA 5411 <br /> OT EPA 549 <br /> T EPA 632 <br /> T EPA 80I5M <br /> T AMBER <br /> 8 OZ.JAR <br /> 32 OZ.JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAC <br /> 3•-ER.ROUS IRON ' <br /> rNCORE <br /> SMARTIW <br /> Comments: <br /> Se -Numbering Completed Ry: Dasefrime• U �� <br /> A == ActActual ( C = Corrowected <br /> The results in this repon apply to the samples analyzed in accordance with the chain of custodt,document.This analytical report must be reproduced in its entirety. <br /> All results listed in this report are for the mciuswe 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.bdabs.com Page 4 of 22 <br />