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Laboratories Inc.. <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custody and Cooler Receipt Form for 1414263 Page 2 of 2 <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. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party intermetation. <br />Report ID: 1000269391 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 19 <br />LABORATORIES INC. COOLER RECEIPT FORM Rev. No. 17 06/05!14 Page I Of <br />Submission #: l U- k'-� a 6 3 <br />SHIPPING INFORMATION <br />Federal Express ❑ UPS ❑ Hand Delivery ❑ <br />BC Lab Field Service 9 Other ❑ (Specify) <br />SHIPPING CONTAINER <br />Ice ChestcL None ❑ Box ❑ <br />Other ❑ (Specify) <br />FREE LIQUID <br />YES ❑ NO ❑ <br />Refrigerant: Ice Blue Ice ❑ None ❑ Other ❑ Comments: <br />Custody Seals <br />Ice Ghes# ❑ <br />Containers ❑ <br />None Comments: <br />All samples received? Yes --No ❑ All samples containers intact? YesO`No ❑ Description(s) match COC? Yes�5/—No ❑ <br />CACOC Received Emissivity: ii- 96 Container: 144 Thermometer ID: % Date(Tim'(o {t 0136 <br />ES ❑ NO Temperature: { A) `. `1 °C ! (C ) ( • S °C Analyst IniY?�P <br />SAMPLE NUMBERS <br />SAMPLE CONTAINERS <br />1 2 3 4 5 6 7 8 1 9 10 <br />T GENERAL. MINERAL/ GENERAL <br />PT PE UNPRESERVED - <br />T INORGANIC CHEMICAL METALS <br />PT INORGANIC CHEMICAL METALS <br />PT CYANIDE <br />PT NITROGEN FORMS <br />PT TOTAL SULFIDE <br />2oz. NITRATE / NITRITE <br />PT TOTAL ORGANIC CARBON <br />PT TOX <br />PT CHEMICAL OXYGEN DEMAND <br />PLA PHENOLICS <br />40ml VOA VIAL TRAVEL BLANK <br />40ml VOA VIAL t i t ) 1 t i r i <br />T EPA 413.1 413.2 418.1 <br />PT ODOR <br />RADIOLOGICAL <br />BACTERIOLOGICAL <br />40 nil VOA VIAL- 504 <br />T EPA 508/608/8080 <br />T EPA 515.1/8150 <br />T EPA 525 <br />T EPA 525 TRAVEL, BLANK <br />40ml EPA 547 <br />40ml EPA 531.1 <br />Boz Amber EPA 548 <br />T EPA 549 <br />T EPA 632 <br />T EPA 8015M <br />T AMBER <br />8 OZ. JAR <br />l <br />OZ. JARIV O 1 X 1.''A <br />SOIL SLEEVE <br />PCB VIAL <br />PLASTIC BAG <br />I <br />FERROUSIRON <br />` <br />ENCORE <br />SMART KIT <br />Summa Canister <br />I <br />Comments: <br />Sample Numbering Completed By: Date/Time: Iq Y [S:1WPDoc\WordPerfect\LAB_DOCS\FORMSISAMREC16 E <br />A = Actual ! C = Corrected <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. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party intermetation. <br />Report ID: 1000269391 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 19 <br />