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ace Analytical <br /> 1 ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2504904 Page 2 of 2 <br /> PACE A(.1ALY17ICAL COOLER RECEIPT FORM Page Of <br /> Submission#: 5-o 1.1,10 C <br /> SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br /> Fed Ex ❑ UPS C] GSO!GLS Cl Hand Delivery ❑ Ice Chestg None ❑ Box ❑ Y NO El <br /> Pace Lab Feld 5ervice/i Other❑(Specify) Other (Specify) W / S <br /> Refrigerant: Ice Blue Ice❑ None❑ Other❑ Comments: <br /> Custody Seals ,ice�hpst i Gothae�s 0 None Comments: <br /> lritact?Yeat-3=Na�T: Idlacf7 Y°es�CLti�a G� <br /> All samples received? Yes No❑ All samples containers Intact? Ye No❑ Description(s)match COC?Ye-X No ❑ <br /> CO C Received Emissivity:d r Container., !JA Thermometer ID-o�� Date/T1me7 Sf- 2( 2c.ys <br /> IZJ YES ❑NO Temperature: (A) °C ! (C ) °C Analyst[nit P/ <br /> SAMPLE CONTAINERS SAMPLE NUMBERS <br /> ] 2 3 4 5 6 7 8 9 10 <br /> T PE UNPRES <br /> 4z/Boz/16ez PE UNPRES <br /> 2oz C'- <br /> T INORGANIC CHEMICAL NIETALS <br /> INORGANIC CHEMICAL METALS 402 I Boz/16oa <br /> BT CYANIDE <br /> WT NITROGEN rORMs <br /> ]krTOTAL SULFIDE <br /> 2oz NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> 40m]VOA VIAL TRAVEL BLANK <br /> 40ml VOA VIAL <br /> T EPA 1664B - <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAI,504 <br /> EPA 5081608J18081A <br /> I <br /> QT EPA 515.118I51A <br /> i <br /> T EPA 525.2 <br /> I <br /> T EPA 5251 TRAVEL BLANK <br /> 40.1 EPA 547 <br /> 40.1 EPA 531.1 <br /> Soz EPA 548.I <br /> T EPA 549.2 <br /> T EPA E015M <br /> T EPA 8270C <br /> 8oz/16ez/32oz AMBER <br /> Boz 116oz/32oz JAR <br /> SOII.SLEEVE <br /> PCB VLILL <br /> i <br /> PLASTIC BAG <br /> TEDLAR BAG <br /> FERROUS IRON ' <br /> ENCORE <br /> SIVIART KIT <br /> SUMMA CANISTER <br /> Comments: 4e)-- -�l TV <br /> - <br /> Sample Numbering Completed By: 6&r72 Date/Time: Rec 2305/20/22 <br /> A=Actual / C=Corrected P:tvmooelW-V-K.°nua-oocst OrdA=AMFMC—201 <br /> s <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 /> Report ID: 1001583315 4100 Atlas Court Bakersfield, CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 4 of 10 <br />