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pies. I, <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custody and Cooler Receiat Form for 1632908 Paae 2 of 2 <br />The resvlis in this report apply to the samples analyzed in accordance with the chain ojcusiody document. This analytical report nmst be reproduced in its enhrery. <br />All results listed in this report are for the exclusive use of the submitting parry. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party Interpretation <br />4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX(661)327-19`18 www.bclabs.com Page 4 of 43 <br />BC LABORATORIES INC. <br />COOLER RECEIPT FORM <br />Page Of <br />Submission #: 1 A <br />SHIPPING INFORMATION <br />Fed Ex',jK UPS iiOntrac ❑ Hand Delivery ❑ <br />BC Lab Field Service 11 Other ❑ (Specify) <br />SHIPPING CONTAINER <br />Ice Chest None ❑ Box 13 <br />Other ❑ (Specify) <br />FREE LIQUID <br />YE <br />$ <br />Refrigerant: Ice ❑ Blue is None ❑ <br />Other ❑ <br />Comments: <br />Custody Seals <br />t �he�Q <br />I` <br />�ontalgers �}' ° <br />Y <br />. <br />None <br />omments: <br />All samples roceived7 Y o ❑ All samples co tainers intact? Y —1V6 ❑ Description{s) match COC) Yes o ❑ <br />COC Received Emissivity: 0 <br />YES ❑ NO Temperature* I A I <br />ContainerJV <br />5 3 <br />ThermometerID: 41'Date/Time <br />'C / (C ) 15CP C Analyst Init 1Li I <br />- <br />SAMPLE CONTAINERS <br />1 2 <br />3 <br />SAMPLE NUMBERS <br />4 6 6 7 <br />8 9 to <br />T PE UNPRFS <br />4oz/Buz I16oz PE UNPRES <br />Ioz Ce. <br />T INORGANIC CHEMICAL METALS <br />INORGANIC CHEMICAL METALS 4oz goz 16oz <br />PT CYANIDE <br />PT NITROGEN FORMS <br />PPTOTALSULFIDE <br />goz NITRATE /NITRTTE <br />_ n.I ; <br />PT TOTAL ORGANIC CARBON <br />J <br />PT CHEMICAL OXYGEN DEMAND <br />PIA PHENOLICS <br />LT <br />40.1 VOA VIAL TRAVEL BLANK <br />dt <br />L <br />40.1 VOA VIAL <br />TEPA 1664 <br />PTODOR <br />RADIOLOGICAL <br />BACTERIOLOGICAL <br />40 ml VOA VIAL- 504 <br />OT EPA 508/608/8080 <br />T EPA 515.1/8158 <br />T EPA 575 <br />OT EPA 525 TRAVEL BLANK <br />40m1 FRA 547 <br />40ml EPA 531.1 <br />8oz EPA 548 <br />L <br />T EPA 8015M <br />TEPA B27 <br />goz / 16oz 2 AMBER <br />goz/ 60 32oz AR <br />SOIL SLEEVE <br />PCB VIAL <br />PLASTICBAG <br />TEDLAR BAG <br />FERROUS IRON <br />ENCORE <br />SMART KIT <br />SIRriMA CANISTER <br />Comments: <br />Sample Numbering Completed By: <br />A a A,f„al 1 r. a (.nrrected <br />DateTme: - <br />I$AWro«IWarAPerNentwA_000SfONM31a�MR[Cav <br />nsv 21 0512312016 <br />ml <br />The resvlis in this report apply to the samples analyzed in accordance with the chain ojcusiody document. This analytical report nmst be reproduced in its enhrery. <br />All results listed in this report are for the exclusive use of the submitting parry. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party Interpretation <br />4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX(661)327-19`18 www.bclabs.com Page 4 of 43 <br />