Laserfiche WebLink
Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1905437 Page 2 of 2 <br /> Lnl�OAATOFIIES INC- COOLER RECEIPT FORM Page—I Of <br /> Sul7tt:lEasian �'; <br /> SHIPPING INFORMATION SHIPPING C0NTAI1JrFI FREE LIQUJD <br /> Fed Ex 0 f]PS❑ Dn#Iac❑ Hand DeWaFy� Ice Chest❑ fluBox 11 YES D NO ❑ <br /> BC Lab Fleld Service ❑ Other❑{SPeaIfY).—.._. 4thC��ealy W f $ <br /> Ref brant: le lanae I None 4 OOOT G CrUnunBntE: <br /> Custody Seals ideal wst Cl ..Oonta3oe ❑ ntom,' Comments: <br /> AS sor*10B raCelvd Ya N. <br /> O WYBrilpwa:Cnnmioem ln[PCt? Yes N6❑ daccrlpti]n[s]mntch COC7 Y No ❑ <br /> RoceiV2d Eft iE61Vty'uw DOrllainer El 0meter I NtulTlrne I� 5 <br /> ES I--] NQ Tem er9tar4] i A Ane[ c[Inll <br /> %WPLE NAIDERS <br /> SAMPU cnNTABMEW <br /> rs uMwaes <br /> doe r laar 14{a RE OMPRkS <br /> TMORGAHICCOzU L mETAm <br /> ry hIIC CftHhi7CA7.xf hT.S�]z t doa116oz <br /> F!C VAh)U <br /> F1'P-DIM90 FORW <br /> L>T'T01'u. <br /> ly, <br /> #axe 1�77'iL47'P,13{IT�1 <br /> TOT&LQK.ANir-gLuy9aff <br /> 7'r IC.iLCXYOEvf UMf M <br /> AA PHFla T <br /> dtlml vex VIA3,27tAVELM Arae <br /> {dml VOe ViAI. <br /> HPh xbsa <br /> TT'06018 <br /> RAMOLOG.L-LAL <br /> ahrrrxloLaalc�sl. <br /> OmlVCAVUIi sof <br /> 8Pk 3[�GL�4�o <br /> Or <br /> HPh s]s,>Asso <br /> [Z-A M5 TRA"L SLANE <br /> aC.1 UA5#7 <br /> �rrt1 EtA SEl1 <br /> $na EPA i# I <br /> SwiL 5>& <br /> T HPA <br /> rFT'A" <br /> 8ta I16as13laa AhibB[R <br /> 6azl1{aa1Tl� Alt <br /> S 0Rl.SL88VR <br /> PC31 VIAL <br /> YLAFrEB.'RA .. <br /> L iR DAC <br /> PSRROLLRTROM -. <br /> SMA72T BUT <br /> SUMMA CANISIM <br /> �OrYMilela' <br /> Sample NuFAuring campletod BY- m DEWTlme: Emr 2� ouraar�n,n <br /> A= Actual l C = Corroe[anl <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 interpretation. <br /> Report ID: 1000856214 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 4 of 30 <br />