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m <br /> aceAna/ytica/ <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2601988 Page 2 of 2 <br /> PACE ANALYTICAL COOLER ft9cEIP•r-F0RN1 --�—__Page Of <br /> Submission#: aLG b 1 91616 �� $ <br /> SHIPPING INFORMATION _ SNIPPING CONTAINER TREE 1 QUID <br /> — <br /> Fed Ex 0 UPS❑ GSO 1 GI_S`r1 Nand Delivery Cl Ice Chest J� None Ll Box ❑ }+ NO ❑ <br /> Pace Lab Field Service Other El(Specify) Other�4jj(Specify) S <br /> Refr€gerant: Ice ABIue Ice El None❑ Other❑ Comments: W <br /> Custody Seals fa jce GliastFO SGon`fainer�}�� None€ Comments: I <br /> II11+ks.,;{:nc�a:•.:.s`i tr:, -fxEs✓z,'P.'�x i <br /> +Ntaet?'Nest/]allo�Ol Intae4?•YesteO:t;tdo,tE t _� <br /> All samples received? Yes® No E] All samples containers intact? Yes p NOD Description(s)match COC? Yes(� No 0 <br /> COG Received Emisslvity:9^Container: N A Thermometer lD:.,6(- Date/Tlme ti 6�1), 0 <br /> XYES ❑NO Temperature: (A) L I °C I (C ) 3•U °C Analyst wt <br /> SAMPLE CONTA1CONTAINERSSAMPLENUMBERS <br /> T PE UNPRES 11 -- <br /> 4uz I Boz!_6oz E UNPRES Z L � L x'I- Z L Y <br /> 2ct Cr•i <br /> TtNORCATiICCHEMICALAIETALS <br /> INORGANIC CHF,MICAL Aff,'TAL34oz/Soz/I6oz E <br /> PTCYANIDE — <br /> PTNITROGENFORMS <br /> 15T TOTAL SULFIDE _ ' '• � <br /> tat.NITRATE INITRITE <br /> PT TOTAL ORGANIC CARBON I�� <br /> PT CHEMICAL OXYGEN DEMAND _ <br /> PtA PHENOLICS <br /> 40ml VOA VIAL TRAVELBLANK _ <br /> 40-0 VOA WAL -C <br /> y0A y-'rAL AAF 0- p Gr <br /> - <br /> P'r ODOR - <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL - 'I <br /> 40 ml VOA VIAL-504 <br /> T EPA 5081608.318081A <br /> CT EPA 515.118151A <br /> OT EPA 525.2 <br /> QT EPA 525.2 TRAVEL BLANK <br /> 411m1 EPA 547 - I <br /> 46m1 EPA 531.1 <br /> Soz EPA 548.1 •—I - <br /> T EPA 549.2 <br /> T EPA SU15itl <br /> T EPA 9270C 9 <br /> Sazl I'—I32ot AMBER <br /> 8oz116ort32oz3AR <br /> _5011,SLEEVE <br /> PCB VIAL <br /> PLASTIC BAC. f <br /> TEDLAR'RAG <br /> FERROUSIRON -- <br /> ENCORE <br /> SMART KIT <br /> SUMNIA CANISTER i <br /> Comments: Y <br /> Sample Numbering Completed By: _G L2 Date;rims: Z ev2a <br /> A= _ R os 2o!x� <br /> Actual I G=Corrected ($;lWPbadW nPedeKaSp)CSFGFov2S1P.EGnv. , <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: 1001665326 4100 Atlas Court Bakersfield, CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 4 of 44 <br />