Laserfiche WebLink
ace Analytical <br />ENVIRONMENTAL SCIENCES <br />Chain of Custody and Cooler Receipt Form for 2218356 Page 3 of 3 <br />PACE ANALYTICAL A COOLER RECEIPT FORM Page Of ./ <br />Submission #: <br />SHIPPING INFORMATION <br />Fed Ex C UPS 0 GS0 I OLSV Hand Delivery 0 <br />Pace Lab Field Service CI Other CI (Specify} <br />SHIPPING CONTAINER <br />Ica Chostlit None C Box L.; <br />Other 3 (Specify) <br />FREE LIQUID <br />YE NO r. <br />S <br />Refrigerant: Iced Blue Ice CI None CI Other n Comments: <br />Custody Seals Ice Chest 0 <br />' Intact'? Y9s 0 No 0 <br />17;ntoiners D <br />fritact7 Yes 0 No 0 <br />None 11 Comments: <br />All Samples racei'eNd? Yes No tli All samples cu Mainers intact? Yep41.------No 0 Ouse riptioni:a) match COO? Yee Li No : <br />COC Received srni*sivay:q.ct% Container: PE Thermometer ID: 354 Data/TI.. g - y...7L <br />T. YES El NO Temperature: I. A } '.0 .0 1 C I 6,9i, Analyst Init Skil 9: 30 <br />SAMPLE NUMBERS <br />S.S1.1.PLE CONTAINERS 2 5 4 4 C 7 10 <br />QT Pp UNPIN& <br />.102! 102111.0E Ikr., L'Neka <br />or WOMAN IC nermicm. AlF.TALs <br />17,4324A;ANIC ClIEMICAL stimi LS di? : %WE i I r.,, <br />PT CYANIDE <br />FY p•Il-i*Glis y OR AIS <br />FT lurid, SU LTI DE <br />2 c,A NITR ATE 1 NITRITE <br />PT IOTA! ORGANIC CARBON <br />rr CI IENI ICA I. OXYGEN DE %LAND <br />Pia PlIF.ATILICS <br />1.1n.I vOi VI SL TRAVEL RI ANK <br />-10mIVC74 VIAL <br />01. LEA WM <br />'T ODOR <br />RA0101,0G PM <br />BACTERIOLOGICAL <br />40 ml VO 4 Vi o I - 10: <br />01 FP'. 444.14i15.1•51P11 1 <br />Ql EPA 715.1.151514 <br />01 kl'A 1.2S2 <br />--4 <br />(ST EPA !,25.2 TRAM. BLANK <br />ow Era S17 <br />40m1 FP1C31 1 <br />Sot El' %. 50-5.1 <br />1..,1, 51,11 <br />OE reA001S11 <br />9.11.:124122AL <br />St.( We 1320e AMBER <br />hoot Plat / 32na JAN <br />SOI I, VA CPI; <br />PCB VIAL <br />PI AVIIIC II 11.: Fk <br />TE WAR BAG <br />1,14ROU5 IRON <br />ESCORE <br />MARE Pill <br />)UMNIA CANISTER <br />co...1,: -----pr—. I 'pie OAS4,tve sample Nurnhefing Completed lay: paterrim: iG._1 40.4.11_- Re., 21. 01,262,2 opik ,—A, _z_i_q( <br />A = Actual / C = Corrected ArAY,...o.....9.1asILMISAfedialtaLIAVII(C..M <br />The results in this report apply to the samples analyzed in accordance with the chain of custody 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. Pace Analytical 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.pacelabs.com Report ID: 1001335654 Page 5 of 31