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m <br /> aceAna/ytica/ <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2601557 Page 3 of 4 <br /> PACE ANALYTICAL COOLER RECEIPT FORM Page �Of ti <br /> Submission#:26 0 5 <br /> SHIPPING INFORMATION SHIPFING CONTAINER FREE <br /> Fed Ex ❑ UPS a GSO I GLS❑ Hand Delivery ❑ Ice Chest None ❑ Box ElYE NO <br /> Pace Lab Field Service Other❑(Specify) Other El(Specify) 1 S <br /> Refrigerant: Ice kh Blue Ice❑ None❑ Other❑ omments: <br /> Custody Seals'.} Ice ChestOConta�tners''0t'J None Comments: <br /> _ 4.6t2Ves.❑S.tJo.Or Intact? es"'rOA.Nosi1:-3 <br /> All samples received? Yes No p All samples containers intact? Yes No❑ Description <br /> (s)match COC? Yes❑ No C <br /> �COC Received Emisslvity: 0191 Container: PIA ThermometerlD:21-t _ Dalelfim.IW 06 ZOIy <br /> �]YES El NO NO Temperature: (A) 0'2 °C / (C) 'C Analyst lnit CLZ <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> 1 2 3 4 5 6 7 0 9 10 <br /> T PE UNPRES <br /> 4az/8oz 16o PE UNPRES <br /> 2az Cr+6 <br /> T INORGANIC CHEMICAL METALS <br /> INORGANIOCHEMICAL METALS 40z/8oz/16oz <br /> PT CYANIDE. <br /> PT NITROGEN FORMS <br /> PT TOTAL.SULFIDE. <br /> 2az.NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT CHEMICAL OXYGEN DEMAND I� <br /> PtA PHENOLICS Y� <br /> 40.1 VOA VIAL TRAVEL BLANK Q _i <br /> 40.1 VOA VIAL / l'� —t^' <br /> T EPA 1664B _ <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL _ <br /> 40-ml VOA VIAL-' 'tAM(r! U11U1-d 1?—(� �— <br /> T EPA 508/608.3/8083A <br /> QT EPA 515.1/S151A <br /> T EPA 525.2 <br /> T EPA 525.2 TRAVEL BLANK I <br /> 40m1 EPA 547 <br /> 40m1 EPA 531.1 <br /> 8oz EPA 548.1 <br /> T EPA 549.2 <br /> t <br /> OT EPA 8015M <br /> 7'EPA 8270C <br /> 80z/i(ioz I. z AMBER <br /> Buz/160z/32-JAR <br /> SOIL.SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> TEDLAR BAG <br /> FERROUSIRON <br /> ENCORE, <br /> SMART.KIT <br /> SUMNL\CANISTER { <br /> Comments coc- MvIAt�)2, L/`+�1'.4•- - <br /> Sample Numbering Completed By: Date/Time:� /�L �I 1 1.y Rev 2305,20122 <br /> A=Actual / C=Corrected IS:IWPDoc,WordPudoctUAS DOCSIFORM*.SI4d6EChv 201 <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: 1001665296 4100 Atlas Court Bakersfield, CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 6 of 84 <br />