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U <br /> ace Analytical <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2602030 Page 2 of 2 <br /> PACE ANALYTICAL COOLER RECEIPT FORM Page Of <br /> Submission#: <br /> SHIPPING INFORMATION[ SHIPPING CONTAINER FREE LIQUID <br /> FF.d Ex ❑ - UPS❑ , G90I GLS❑ hand Delivery ❑ Ice Chest None ❑ Box ❑ YES i O ❑ <br /> ace Lab FIeId Service Other❑{Specify? Other ❑(Specify) $ <br /> Refrigerant 'Ice Blue Ice© None❑ Other❑ Comments: I <br /> Custody Seats 0 .fl None/ Comments: <br /> A!1 samples received? V—rV No❑ All samples containers intact? Y-4 No❑ Descriptlon(s)match COC?Yes W Nd 0 <br /> COC Received Emissivity: 0.94 Container. N I ThermometerlD: 3c�(— Datemme1—ha vu, <br /> E$ ❑NO Temperature: (A) 2' °C '! (C ) °C AnalystlnM PI <br /> SAMPLE NUM13EM <br /> SAMPLE CONTAINERS <br /> PE UNPA ES I <br /> 4az 18azt l6az E U N P R E S 2 <br /> 2oz Cr, <br /> QPF INORGANIC CHEMICAL METALS <br /> INORGANIC CHEMICAL METALS 4M 1 Sul 16nz <br /> PT CYANIDE <br /> PT NITROGEN FORMS _ I - <br /> PT TOTAL SULFOIE <br /> 2m NCTRATEINrfRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS - <br /> 40m1 VOA VIAL TRAV6tBb*dW <br /> 40m1 VOA VIAL —C <br /> T EPA 1664B <br /> PT ODOR a <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 ml VOA VIAL-504 I- - <br /> T EPA 50S166018081A <br /> QT EPA 515.118151A <br /> EPA 525.2 <br /> QT EPA 525.2 TRAVEL BLANK ,I. <br /> 40m1 EPA 547 I .. <br /> 40m1 EPA 531.1 I <br /> S"EPA 548.1 <br /> OT EPA 5492 <br /> OT EPA 8015M <br /> OT EPA 8270C <br /> 8-116oz/32-AMBER I <br /> 8u 116oz 132oz JAR ! <br /> SOILSLEEVE _ ! <br /> PCB VIAL <br /> PLASTIC BAG <br /> TF.DLAR BAG <br /> FERROUS IRON <br /> ENCORE �I <br /> SMART KIT <br /> SUMMA CANISTER �� <br /> Comments: <br /> Sample Numbering Completed ey: CL DatofrlMe: 7 Z -7 Rav 737 f2rJ 2„ <br /> A-Actual i C=Corrected [s a+rozuvawaro�nue_oocsvvra¢sswxct,e+ml <br /> • I ' <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: 1001655036 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 4 of 24 <br />