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C <br /> ace Analytical <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2601898 Page 5 of 5 <br /> pAc'+_ANALYTICAL COOLER RECEIPT FORM Page 3 Of . <br /> Submission <br /> SHIPPING INFORMATION SHIPPING CONTAINER _ FREE. QUID. .. <br /> Fed Ex ❑ UPS❑ ) GSO I GLS O Hand Delivery Cl Chest I2( None ❑ Box ❑ YE NO ❑ <br /> Pace Lab Field service'ktl ' Other k3(Spedify) Other ❑(Specify): W S <br /> IKQ1lIl6erant:. IceV Blue Ice❑ None'❑ Other❑' ; Comments: <br /> Cusibdy-Seals'�rce,Ch stsET Coata'ill'ersiEl None Y Comments: l — <br /> cf?,es-L]xNai7't Intact es"'.C,o / <br /> All samples received? Yes" No❑ All samples containers Intact? Yes No❑ Description(s)match COC?Yes td No ❑ <br /> COC Received Emissivity: �Contalner. Thermometer ID: 30 DateMme �Zl65 <br /> YES ❑NO Temperature: (A) Z'C) -C I (C )�_ °C Analyst lnitCL�- <br /> 1 SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> 4 I 5. 6 7 7 8 1 D 1 70 <br /> TPF.UN P IS <br /> 1 <br /> 46 l8oz! Gaz EUNPAES Z �"4 Z <br /> 2az Cr" <br /> INORGANIC CHEMICAL METALS _ <br /> INORGANIC CHEMICAL METALS 4oz/8oz t 16a7. <br /> P.TCYANIDE - <br /> PTNITROGENFORMS - _ <br /> PT TOTAL SULFIDE <br /> oz NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON A <br /> PT CHEMICAL OXYGEN DEMAND <br /> PIA PHENOLICS <br /> 40.1 VOA VIAL TRAVEL BLANK <br /> 40m]VOA VUL - -C, `c <br /> `doml VOA VIA1 <br /> PTODOR• •. _ <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 4D mI VOA VIAL-504 - ... ��Y• I _-1r{ <br /> T EPA 508760A.3t8081 A <br /> QTEPA5(5,I18151A•.• I _ <br /> T EPA 525.2 <br /> T EPA 525.2 TRAVEL BLANK <br /> 40m1,EPA 547 <br /> 40ml EPA 531.1 <br /> Su EPA 549.1 <br /> T EPA s44.2 _ <br /> 7 EPA 8015M <br /> 'P EPA 8270C I _ <br /> 8oz116-J32.AMBER <br /> 8or/16oz 132az JAR <br /> OtL ST.F.EVE � .. <br /> PCB VIAL <br /> 1'I.AS'I IC BAG <br /> TECLAR RAG <br /> FERROUSIRON <br /> ENCORE _ <br /> SMART KIT <br /> 5U?41MA CANISTER _J <br /> Commonts: <br /> Sample Numbering Completed 13y: L DatelTime: 2b ! R-k3G512o:22 _ <br /> !1-Actual I C=Corrected tsav+Poo�ywomnn�.winoocs�oRus�ennrtzc�.v+ol <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 9 of 116 <br />