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C <br /> ace Analytical <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2601557 Page 4 of 4 <br /> PACE ANALYTICAL COOLER RECEIPT FORM Page 2 Of <br /> Submission#: <br /> SHIPPING INFORMATION SHIP91NG CONTAINER FRE IQUID <br /> Fed Ex ❑ UPS❑ ./ GSO1 GLS❑ Hand Delivery ❑ Ice Chest9M None ❑ Box ❑ YE NO El <br /> Pace Lab Field Service Other❑(Specify) Other ❑(Specify) / S <br /> Refrigerant: Ice d Blue Ice❑ None❑ Other❑ omments: <br /> � is I+ ,J2' a :.4"{I" ';: <br /> Custody Seals Chestq Coamer5 � None Comments: <br /> act?Y.ea❑'allo�.. Int�ct7 Yesy�:allo❑» <br /> All samples received? Yes/ No o All samples containers intact? Yes No 0 Description(s)match COC?Yes❑ No Jd�A�COC Received Emissivity: 0-97 Container: PIA Thermometer ID:27 _ I DatelTime0Q12 2016 <br /> L1 YES ❑NO Temperature: (A) d D °C / (C ) C)e 9 _ °C Analystlnit CLZ <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> 1 12 3 4 5 1 6 17 8 9 10 <br /> T PE UNPRES <br /> 4oz/Soz fioz EUNPRES I Z <br /> 2az Cr., -- <br /> TINORGANICCHEMICALMETALS <br /> INORGANIC CHEMICAL METALS 4oz/8oz/16oz <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2oz.NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT CHEMICAL OXYGEN DEMAND <br /> PIA PHENOLICS <br /> 40.1 VOA VIAL TRAVEL BLANK /T /q� //�� ^ <br /> 40.1 VOA VIAL L "'t-U -Pt-C- A-L A-L H-c- A-C <br /> T EPA 1664E <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40-MI VOA VIAL,04 M Gc- unt-N of <br /> T EPA 508/fi08.3/8081A <br /> QT EPA 515.1/8151A <br /> T EPA 525.2 <br /> T EPA 525.2 TRAVEL BLANK <br /> 40.1 EPA 547 <br /> 40.1 EPA 531.1 <br /> 8oz EPA 548.1 <br /> T EPA 549.2 <br /> T EPA 8015M <br /> T EPA 8270C <br /> 8az/I6oz/32oz AMBER <br /> Buz/16oz/32oz JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> TEDLAR BAG <br /> FERROUSIRON <br /> ENCORE <br /> SMART KIT <br /> SUMMA CANISTER <br /> Comments: <br /> Sample Numbering Completed By: DatelTime: D Zt-> Rev 2305,2012E <br /> A=Actual / C=Corrected IanwPcoawomPaeoontae_Docs>Fonmssn6+REa,v 2oI <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 7 of 84 <br />