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ace Analytical <br /> / ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2510941 Page 2 of 2 <br /> PACE ANALYTICAL <br /> COOLER RECEIPT FORM Page L Of <br /> Submission#: S— �C1 4 ❑Other (Specify)— FREE LIQUID <br /> SHIPPING INFORMATION SHIPPING CONTAINER YES NO 11UPS❑ GSO I GLS❑ bland Delivery ❑ lee Chest None El Box ❑ S <br /> Fed Ex Cf S Other 11(Specify) <br /> Pace Lab Field Service ( p Y) <br /> Refrigerant: ice Blue Ice 0 None E1 Other❑ Comments: <br /> Custody Seals ceChf�fL3Cntaier�sO None Comments: <br /> ttacfT=Yes:Q N4�oi Inkact2';Yes; 1O l <br /> All samples received? Yes No❑ All samples containers Intact?Yes No 11 Description(s)match COC? Yes No ❑ <br /> Emissivity: 6.10 Contalner:�Thermomater ID: Z 1 Daternme 61ZSI Zr <br /> COC Received <br /> ( � °C ! tC ] 1 °C Analystln[t lGL7i 2(1� <br /> [i(YES ❑NO Temperature: (A) . <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS 1 z 3 a 5 <br /> 6 ) S q )a <br /> T PE UNPRES I <br /> 4az/8oz 1.I6oz PE UNPRES <br /> 2oz Cry <br /> I'INORGANIC CHEMICAL METALS <br /> INORGANIC CHEMICAL METALS 4oz/8oz 116- <br /> P f CYAN(l)li 6- <br /> PT NITRO(;EN FORMS <br /> !PTTOTALSULFIPF. <br /> !!!!2oz.NITRATEINITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT CHEMICAL OXYGEN DEMAND <br /> P1A 1'11ENULICS <br /> 40m1 VOA VIAL'rRAVEL BLANK <br /> 41hnt VOA VIAL <br /> )T EPA 16648 <br /> Pr ODOR <br /> �RADIOLOCICAL <br /> BAC'rF.R1DLOGICAL <br /> 4U�n1 VO.i VIAL.-5U4 <br /> QT EPA SU8/608JI8081A <br /> QT EPA 515.1/8151A <br /> T EPA 525 <br /> r EPA 525.2 TRAVEL BLANK <br /> 40w],EPA 547 <br /> 40MI EPA 571.1 <br /> Soz EPA 548.1 <br /> T EPA 54'J.2 <br /> T EPA 80ISM <br /> T EPA 817UC <br /> 8oz!16oz 132oz AMBER <br /> 8az116uz132oz7AR <br /> SOILSLEIiVE - <br /> PCB VIAL. <br /> PLASTIC BAG <br /> TEDLAR BAG <br /> FERROUS IRON <br /> ENCORE - <br /> SMART KIT <br /> SUMNIA CANISTER <br /> Comments: Rev 2305(2 122 <br /> Sample Numbering Completed By: [s:twroonw.br.rr..nue_oocs�ol)eas>sa+nRrcr.xa{ <br /> A=Actual 1 C=cortected <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: 1001604253 4100 Atlas Court Bakersfield, CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 4 of 10 <br />