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C <br /> ace Analytical <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2602031 Page 5 of 6 <br /> FACE ANALYTICAL COOLER RECEIPT FORM Page-3—Of <br /> Submission#: b 5T 3 <br /> SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br /> Fed Ex ❑ . UPS❑ , GSO/GLS❑ Hand Delivery 0 Ice Chest None [IBox ❑ YES !NO C1 <br /> Pace Lab Field Service Other❑(Specify) Other ❑(Specify) $ <br /> Refrigerant: Ice Blue Ice 0. None❑ Other I7 Comments: <br /> Custody Seals ce Ctsest# & Gon wiper None Comments: <br /> wrly. / <br /> intact?%Yes;D'No,ts. fiitact3�Yese <br /> All samples received? Yes No o All samples contalners intact? Yes No❑ Description(s)match COC? Yes4 No 13 <br /> COC Received• Emissivity: 61`i4 Container: N /S ThermometerlD: 3C1(1 T:nalystlnit <br /> atumme 119 k tiIGU <br /> ES 0 NO Temperature: (A) 3'O "C '1 (C } I "C I'I <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> � 1 'L 1 8 7 8 9.i.- <br /> T PE UNPRES <br /> 4oz18or 16o PE UNPRES .t..—L 1--GI 1—L <br /> 2oz Cr4 I <br /> T INORGANIC CHEMICAL,METALS I — <br /> INORGANIC CHEMICAL METALS 4oz I eaz 116.. I <br /> PTCVANIDE I - <br /> PT NITROGEN FORMS IT TOTAL SULFIDE <br /> 2oz.NITRATE I NITRITE <br /> PT TOTAL ORGANIC CARBON I <br /> PT CHEMICAL OXYGEN DEMAND I <br /> M PIIENOLICS I <br /> 40.1 VOA VIAL TRAVEL BLANK A /� <br /> 40m1.VOA VIAL —C -C I -C. <br /> qoml vDA VIAL Amb&X19 -Cs �S_ <br /> PT ODOR I <br /> RADIOLOGICAL I <br /> BACCERIOL'OGICAL <br /> 40 ml VOA VIAL,504 <br /> T F.PA 508t6083BO81A <br /> QT EPAS15.I18151A <br /> T EPA 525.2 <br /> T EPA 525.2 TRAVEL BLANK <br /> 40ml EPA 547 I .. <br /> 40ml EPA 531.1 I —� <br /> 8oz EPA 548.1 <br /> F EPA 649.2 --- —� <br /> T EPA 8015M — —� <br /> T EPA 3270C <br /> 8oz116oz132oz AMBER <br /> 8oz 116oz t 32oz JAR <br /> SOILSLEEVE <br /> PCB VIAL <br /> PLASTIC BAG --�) <br /> TEDLAR BAG - <br /> FERROUSIRON <br /> ENCORE <br /> SMART KIT <br /> SUMMACANISTER -.�— <br /> Comments: <br /> Sample Numbering Completed By: _ GLZ DateiTime: 7 J� 7L ? 227- Rjv7305l2U!2, <br /> A=Actual I C=Corrected [szwpeodWooea�lae uacsTo�xsysnra8ccic+:a1 <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: 1001665034 4100 Atlas Court Bakersfield, CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 9 of 147 <br />