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Frontier Analytical Laboratory <br />Sample Login Form <br />FAL Project ID: 11455 <br />Client: <br />Client Project ID: <br />Date Received: <br />Time Received: <br />Received By: <br />Logged In By: <br /># of Samples Received: <br />Duplicates: <br />Storage Location: <br />Brusca Associates, Inc. <br />137-002 <br />04/12/2018 <br />03:03 pm <br />KZ <br />KZ <br />13 <br />0 <br />R-4 <br />IN <br />FKM. <br />ANALYTICAL LABORATORY <br />Method of Delivery: <br />Courier <br />Tracking Number: <br />NA <br />Shipping Container Received Intact <br />Yes <br />Custody seals(s) present? <br />No <br />Custody seals(s) intact? <br />No <br />Sample Arrival Temperature (C) <br />0 <br />Cooling Method <br />Ice <br />Chain Of Custody Present? <br />Yes <br />Return Shipping Container To Client <br />Yes <br />Test aqueous sample for residual Chlorine <br />No <br />Sodium Thiosulfate Added <br />No <br />Adequate Sample Volume <br />Yes <br />Appropriate Sample Container <br />Yes <br />H Range of Aqueous Sample <br />N/A <br />Anomalies or additional comments: <br />000019 of 000022 <br />5172 Hillsdale Circle EI Dorado Hills, CA 95762 * Tel (916) 934-0900 ' Fax (916) 934-0999 ' www.frontieranalytical.com <br />