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m <br /> aceAna/ytica/ <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2601989 Page 2 of 2 <br /> PACE ANALYTICAL COOLER RECEIPT-FORM Page of-- .— I <br /> Submission #: GUI`22' I _ <br /> v SHIPPING INFORMATION �4 SHIPP[INCti CONTAINER FRET~ IQUID <br /> °Fed Ex ❑' UPS❑ GSO I GLS"IJ Hand Delivery El ice Chest s None 0 Box i7= 1' NO D- ± <br /> pace Lab Field Servica Other❑(Specifyi Outer (j(Specify) I is . <br /> Refrigerant: ice Blue Ice❑ None FJ Other❑ Comments:', [ _ <br /> [ae:Custody Seals 61RAI� 1Lle, None f� Comments: , <br /> :In�acl�4��Yesfl:�N� <br /> r <br /> All samples received? Yes No❑ All samples containers intact?Yes No R Description(s)match COC?Yes 1-No 37 <br /> COC Received Emissivity:G 94 Container: N Q ThermometerllD:3f-- pafefFime i 6 I��ie <br /> Y�$ ❑NO Temperature: t A} ?'3 °C 1 (C } ` l °C Analyst Init M� <br /> " SAMPLE N1IMSERS I- <br /> ' 'SAMPLE CONTAINERS <br /> 1 1 2 3 45 6 7 8 19 ie <br /> T PE UNPRES I <br /> 4uz/Boz/ 6oz PE UNTRES �, - � i <br /> TINORC NTCCHEM1IICALmETALS <br /> INORGANIC CHEMiCALMETALS4m1801116n4 I _� <br /> PT CYANIDE _ ft <br /> PT NITROGEN FORMS I <br /> lYf TOTAL SULFIDE <br /> 2nz.NITRATE/NITRITE <br /> PT.TOTA.L ORGANIC CARBON <br /> PT CHEMICAL OXYGEN-DEMAND <br /> PIAPHENOLICS y�I <br /> l i <br /> 40mt VOA VIAL TRAVEL BLANK I <br /> 40nd VOAVIAL ` A- I <br /> Omlfro v -G I_ <br /> 1''f ODOR Y }I <br /> HADIOLOGICAL <br /> PrACTERIOLOGICAL - { <br /> a0 ml VOA VIAL-504• _I <br /> T EPA 508/608-3/8081A I <br /> QTEPASI5.119151A - • f - <br /> 4TEPAS25.2 <br /> T EPA S'_SZ TRAVEL HL.4N1C __ - { <br /> 4nm1 EPA 547 <br /> 40ml EPA 531.1 <br /> go EPA 548.1 - .. .. _.... <br /> T EPA 549.2 <br /> T EPA SMS,M <br /> T EPA 8270C <br /> Sozl 16uz/32oz AMBER_ f <br /> �8azl T6oz/32oz JAR k _ <br /> SOILSLEEVE <br /> PCB VIAL E <br /> PLASTIC BAG- F <br /> TEDLAR"BAG _ f <br /> 'FERROUSTRON _ <br /> ENCIDRE _ f <br /> SMARTKIT I _� <br /> SUMMA CANISTER - <br /> Comments: <br /> Sample Numbering Con.plated By: ��_ Daterrlmo:_ Rev zS a5 zo12z <br /> A=Actual 1 C=Corrected (s;rtven�°uv°raa°ee�ruaoacaraanasunweea°�zlj <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: 1001655038 4100 Atlas Court Bakersfield, CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 4 of 34 <br />