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m <br /> aceAna/ytica/ <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2601898 Page 4 of 5 <br /> FACtANALYTICAL COOLER RECEIPT FORM Page?Of <br /> Submissian#• <br /> SHIPPING INFORMATION SHIPPING CONTAINER .. FREE. Qt]1D. <br /> Fed Ex ❑ UPS❑ GSO/GLV[3 Hand Delivery [] Chest 19 None El Box ❑ YE _ NO ❑ <br /> IYace Litb Field Service 111— Other f7(Specify) Other❑(Specify). W S <br /> RotPigerant:. Icev Blue Ice❑ None'❑ Other 0' :•Comments: _ <br /> � ,... ,f,.. <br /> Cusfod Seals Ice C�hest-6 Co tai'ner&�O No Comments: <br /> y ac�7Yes'L7No-.II. InYss�1tN'aEf�' <br /> I <br /> All samples received? Yes No❑ All samples containers intact? Yes No❑ Description(s)match COC?Yes fie•17 <br /> �(COC Received Emissivlty: �r 7 CContainer. ThermometerID: 3 LDatW0rr:1m:e2/J�>S Z115 <br /> ©NO Temperature: (A) 1' `C ! (C ►�_ °C it <br /> �• SAMPLE NUMBERS <br /> SAMPLE CONTAINERS 1 2 3 4 ;. 6 7 3 91 t0 <br /> T PE UNPAES II <br /> 4oz/8 1 6R EUNPRES �• Z• �-" <br /> 2w Cr" <br /> a NO CANIC CHEMICAL METALS - <br /> INORGANIC CHEMICAL METALS 4oz/8oz/16oz <br /> P.T CYANIDE <br /> Pr NIMC GEN FORMS -'� • <br /> - <br /> PT TOTAL SULFHIE <br /> 2oz.NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT CHEMICAL OXYGEN DEMAND ` <br /> PtA PHENOLICS <br /> 40m)VOAVIAL�'R• zl -(Er r D-G -G 0- D-•G <br /> 40mt VOA VIAL <br /> QT F A 1664a <br /> PTOBOR •, <br /> RADIOLOGICAL <br /> B.AL'TERIOLOGIcAL <br /> 40 m1 VOA.VIAL-504 <br /> TEPA508/608.318081A - - •M�`I` <br /> QTEPA515.118ISIA.' ---r I <br /> ---7 <br /> T EPA 525.T _ I- <br /> T EPA 525.2 TRAVEL BLANK C <br /> 4amIEPA547 -- - <br /> 40miEPA531.1 - <br /> Sox EPA 5iS.1 <br /> T EP.t 54?.2 • <br /> T F.PA 801561 • <br /> T EPA 8270C -- <br /> 11oz116ozl32oz AMBER <br /> 8or)16oz/32az JAR — <br /> OILSLEEVE ^ <br /> PCE VIAL <br /> PLAS'IiC EAG — <br /> f <br /> rED1AA EAt;. - tt <br /> FERROUSIRON ' <br /> ENCORE I — <br /> SMART KIT — ---- I� <br /> SUEIMA CANISTER -�-I <br /> Commer'I9: 1. .. <br /> Sample Numbering Completed By: f:l_L Date(IEme: _ '�°Y'34512°.az - <br /> A-Actual 1 C=Corrected j5iwPDacIYYnr4hrtr.°LA9o0csW0 usuwlrsEC-101 <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: 1001665835 4100 Atlas Court Bakersfield, CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 8 of 116 <br />