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m <br /> aceAna/ytica/ <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2601991 Page 2 of 2 <br /> PACE ANALYTICAL COOLER RECEIPT-FORM <br /> Submission#: U _9 1 _ <br /> --- _ -SHIPPING INFORM ATION SHIPPING CONTAINER rRE� IGIUID <br /> Ted Ex ❑' UPS-0 ' GSOIGI_S'FJ' •Hand•13elivery CI Ice Chest]" None ❑ Box ❑ Y NO f7`�` ' <br /> Pace Lab Field Service Other f�.(Specify)_, Other 4j(Speci4y) — I <br /> t -Refrigerant: Ice Blue Ice 0 None 0. Other 0 Comments: x J� <br /> i Custody Seals gI`Ge'"Chzst O X Cl ntairlers O None t Comments:, <br /> —� <br /> elntactT:Y.esa7NotG3, lntact?aYesz,f9t:No>C3�; � ' <br /> All samples•received?.Yes _,Uo,o; RAIlsamplesconfainers.hltact? Yes No© Description(s).match.CO'C?,Yes,l,�No ❑ 1; <br /> COC Received EmissiVlty:9_Container., ThermometerJDD:3Gcv Date/Time`4 q'oo <br /> YES, I NO I—Temperature., (A)' G• U. °C' I (C ) G' 1 -C. , 'Analystlnit <br /> SAMPLE NUMBERS 1 <br /> .' ,SAMPCECONTAINERS" 'A= - - _ <br /> _ 9 7 4 E 6 7 g B 19 <br /> T PE UNPRES _ I <br /> 4uz18oz/ 6vz PE UNPRES Z �, <br /> 2ue Cr° <br /> T INORGANIC CNE97ECAI.METALS _ <br /> INORGANIC CgEMlCALi43ETALS 4oz/Svz 16nz ' <br /> PT CYANIDE <br /> PT NITROGEN FORMS �I <br /> BT TOTAL SULFIDE _ I <br /> 2nz,NITRi.Tr/NITRITE <br /> PT,TOTAL ORGANIC CARBON <br /> PT Cr1EMICAL OXYGENDEMAND I <br /> P[A PHENOLICS <br /> 40ml VOA VIALTRAVEL BLANK I f <br /> 40mIVOANTAL <br /> VSAL AMkF A - <br /> »_A7_EFA_16 4 B _ <br /> RADIOLOGICAL �[ <br /> BACTER1oj&]C7 AL <br /> 40 ml VOA VIAL-504- <br /> TEPA 5631698.318081A <br /> QTEPA5IS.119151A <br /> OT EPA 515.2 1 � <br /> T EPA 525.2 TRAVEL BLANK <br /> 40.1 EPA 547 u <br /> 40tal EPA 5314 <br /> 9w EPA 548.1 .. .- <br /> _ T EPA 549.2 _ <br /> T EPA 8015M _ I <br /> T EPA 8270C <br /> sua/l4ival32oz AMBER <br /> Svz7lboal3_'az.7AR �V <br /> SOILSLEEVE " <br /> PCB VIAL <br /> _ PLASTIC BAG, {! <br /> TEDLAR'B AG <br /> ' PERROUSIRON I <br /> ENCORE <br /> M SMART KIT _ <br /> ' SUMMA CANISTER Y <br /> Comments: <br /> sample-Numbering Completed By: Ruv2505!2na3 <br /> A=Actual I C=COrr.Cted (5917P9acILYerdPe ec6L a_OJLSFOR.:S SAdF.EtirevY$ <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: 1001655256 4100 Atlas Court Bakersfield, CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 4 of 31 <br />