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U <br /> ace Analytical <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2602027 Page 2 of 2 <br /> PACE ANALYTICAL COOLER RECEIPT FORM PagQ Of <br /> Submission t=U <br /> SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br /> Fed Ex ❑ UPS❑ s GSO i GLS❑ Hand Delivery ❑ Ice Chest ' None ❑ Box ❑ Yg I NO ❑ <br /> Pace Lab Field Service Other❑(Specify) Other ❑(Specify) S <br /> Refrigerant: ice Blue Ice❑ None❑ Other❑ Comments: <br /> Custody Seals e e eo ''MWI <br /> None1 Comments: <br /> 1n13et?�Yu. o ac :fie f/ <br /> All samples received? Yes No❑ All samples containers Intact? Yes No❑ Description(s)match CDC?Yes r No D <br /> COS Received Emissivity: 0-CR Container- 1 � ThermometerlD: 3c'r, DateMme h Ih 14ci> <br /> YES ❑N4 <br /> Temperature: (A} S-s °C ! (C } S'� °C Analyst Init P I <br /> SAMPLE CONTAINERS SAMPLENUMBERS <br /> 1 1 2 0 1 4 1 S 8 7 8 9}... 10 <br /> OT PE UNPRES I <br /> 4oz/Saz/16az PEUNPRES <br /> 2"Cr4 I <br /> T INORGANIC CHEMICAL METALS <br /> INORGANIC CHEMICAL METALS4w i llm l 16oz <br /> PT CYANIDE I _ <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> I=NITRATE 1 NITRITE I <br /> PTTOTAL ORGANIC CARBON <br /> PT CHEMICAL OXYGEN DEMANT) I <br /> PtA PHENOLICS <br /> 40.1 VOA VIAL.TRAVEL BLANK I <br /> 40mlVOAVIAL C -C , -C - -C I <br /> T EPA 1664E I <br /> PT ODOR <br /> RADIOLOGICAL I ' <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL-504 I <br /> TEPA 50816083/8081A <br /> QT EPA S1S.II8151A <br /> TEPA 525.2 I <br /> T EPA 5252 TRAVEL BLANK <br /> 40.1 EPA 547 I <br /> 40mt EPA 531.1 <br /> 8oz EPA S48.1 <br /> T EPA 549.2 I _ <br /> QT EPA 8015M <br /> QT EPA 8270C I <br /> 9=1 I6va 132m AMBER <br /> 8oz/I6oz/32oz JAR I <br /> SOH.SLEEVE I <br /> PCB VIAL I <br /> PLASTIC BAG <br /> TF.DLAR BAG <br /> FERROUS IRON I <br /> ENCORE <br /> SMART KIT ,I <br /> SUMMA CANMER <br /> Comments: <br /> Sample Numbering Completed By DateMme: 2 Rw 730512iriz <br /> A=Actual f C=Corrected (sawro«urowar.eo�uw_aacs�verassn*wec.+ml <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: 1001655260 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 4 of 30 <br />