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i <br /> Laboratories Inc. ( , <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1926550 Page 2 of 2 <br /> SC LABORATOPIES 6P1C. COOLER RECEIPT FORM Pag+a <br /> Subtrilsslon #: <br /> tt SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br /> Pod Ex 0 UPS ❑ Ontrac 0 Hand Delivery 0 Ice Meet UP� Nane ❑ pox Cl YES 0 NO €l <br /> BC Lab Field Service gf, t other O (SpcOlfy) Other G (Specilfyl - _ — 1R/ / S <br /> Refrigorant: ice blue Ice O None O Other Q Comments: <br /> Custody Seals Ic�i � t 7 } S a4>taJ � s D Y None 'Comm€nts: <br /> t., 4 bra y , r <br /> All s>amptes receiv0d7 Yea Non All arimplos,aontamers intact? Yes e No ❑ Deacrlptlonts) match COU Ye8dd� No 13 <br /> COC Received Ernissivity: 4 .' R Co`{rttainer: 7hsrmjonietar ID: Znp_ Dattfrinie ac" <br /> NO Tc erature: A 1 ae J C 1 ' °C Analyst lett <br /> _ SAAlKe NUA100S <br /> SAMP&?; WNTAIIMRS <br /> 1 2 8 4 6 6 7 a e 10 <br /> T PE t7NPRE5 <br /> 4W 80x 116'oz PE MrPRES <br /> 2= Crit <br /> OT tNO7tGAMC CJfpar -At. WrAL <br /> INOROAKtCCEM Ctt I MMT r,R x aril Fan <br /> PT CYAM0 <br /> PrIaTROGENF - <br /> PPTOTALS IL <br /> 2cmMTRATBJ TRITE <br /> PT TOTAL 4 b rttC G1xnOt4 <br /> PT CHEM L OXVIOEN DEMAND <br /> PIA <br /> VIAL TStAVELI)LANtt <br /> 40ra1 VOA VIAL _ <br /> _ <br /> OT"A 1664 <br /> PT ODOR <br /> RADIO AL <br /> 4 rn[ VOA VtAt.- i0d <br /> L+PASdirfOiJSa8t1 - . __ <br /> _ g8A 57ittSlsd _ <br /> RPA 05 _ <br /> RPA525TRAVEL BLhh% -- - _ <br /> 4umt RPA 547 <br /> Samt 9PA 53]1 <br /> EPA SKI - <br /> EFA530 <br /> RPA 8715M <br /> TEPA &U0 r <br /> 17osJSdoaJ3laa AMBER <br /> 8ca ! i6uzJ94oEdAR <br /> PCD VIAL- <br /> PL M <br /> LPLdS7T A G <br /> TED ® 1+: <br /> FERROt14 N <br /> ENCORE <br /> SMART ArP <br /> SUbStA CAi't78TBR <br /> CarnmantFr <br /> Sample Numbering Completed ey: bateJTkne. fl Fiev 21 asf=010 <br /> A = Actual 1 0 = Corrected tswrr rvuuwnamuoxrtronr+sstaa n* ml <br /> The results in this report apple to the samples analyzed in accordance with the chain of custody document . This analytical report mast 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 : 1000928515 4100 Atlas Court Bakersfield , CA 93308 (661 ) 327-4911 FAX (661 ) 327-1918 www, bclabs.com Page 4 of 23 <br />