Laserfiche WebLink
C <br /> ace Analytical <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2601509 Page 2 of 2 <br /> PACE ANALYTICAL COOLER RECEIPT FORM Page�_Of <br /> Submission#: Z66150q <br /> SHIPPING INFORMATION <br /> S141PPING CONTAINER FREE hQUip <br /> Fed Ex ❑ UPS❑ GSO/GLS El Hand Delivery ❑ Ice he <br /> f None ❑ Box ❑ YEW ❑ <br /> Pace Lab Feld Service Other❑(Specify) Other ❑,(Specify) <br /> Refrigeradt: Ice Blue Ice❑ None❑ Other❑ Comments: <br /> Custody Seals Ice Chest❑'; Containers,❑ None Comments: <br /> Intact?Yes.O No❑ Intact?Yes❑No❑ <br /> Descriptions match CUC?Ye No ❑ <br /> All,samples received? Yes No❑ All samples containers intact. Yes A No❑ ( ) 2.j 5 <br /> COC(Received <br /> Emissivity: �'�� Container: .NI/t Thermometer ID: 2, Daterrime � <br /> r °C 1 (C ) Z•d °C Analyst Init Cil 2 <br /> YES ❑NO Temperature: (A) ``� <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS 4 5 6 7 <br /> t 2 3 <br /> z _ <br /> OT PE UNPREStt� <br /> 4°z18m/160z xE UNPRES <br /> Zaz Cri6 � I <br /> T INORGANIC CHEMICAL METALS - <br /> 7NORGANIC CIIEMIC.4L METALS'4urt iiuz/160z <br /> PT CYANIDE( <br /> 1 <br /> PT'NITROCEN FORMS <br /> PT TOTAL SULFIDE <br /> Zaz.NITRATE NITRITE <br /> PT TOTAL Ot CANIC CARRON <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLILS <br /> 40tn1 VOA VIAO,TRAVEL BLANK <br /> I <br /> 40nil VOA VIAL - <br /> T EPA 16644 <br /> PT ooOR -- — -- <br /> RADIOLOGICAL - —� <br /> IIACTERIOI.00ICAL <br /> 40 ml VOA VL11L-504 - �--' I. <br /> ' TEPA SON08.3/8081A - <br /> 9TEPAS15.1)8151A <br /> LOT EPA.525.21 <br /> 1.01.EPA 525.26'RAVEI,BLANK —' --- —I <br /> I <br /> 40rtiI EPA 5471 -- --I <br /> 40n4 EPA SAI - <br /> 80z FPA 543.11 <br /> I OT EPA II <br /> T EPA 801 8015 i1 <br /> 1 _ <br /> QT EPA 8270C --- <br /> f 8m.I 16oz/32o AMBER <br /> Bnz/lfiuz/32az JAR i -�i <br /> SOTLSLEEVE -- <br /> PCB VIAL. — <br /> PI.ASTIC BAC -- — -- �' <br /> —� <br /> TEDLAR RAG <br /> FERROUS IdON <br /> ENCORE . <br /> SMART KIT I `� <br /> •yUMhtA CANISTER. -V� <br /> 'C�omltieni s:I - Iev 23 35r2E,?2 <br /> Sample Nun' ering Completed By: Date/Time: 240 <br /> o ISnKPDodKb,dPudcd0.Ae-Doc c,ro hISVSAMaEer,,2nl <br /> A=Actual 1 C=Corrected <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: 1001653121 4100 Atlas Court Bakersfield, CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 4 of 12 <br />