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:w Laboratories Inc. ,�,�� <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1904878 Page 2 of 3 <br /> 8G LABORATORIES WC, COOLER RECEIPT FORM Page9 Of <br /> Submission # R q <br /> SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUIQ <br /> Pet] Bx 0 , UPS ❑ Ontrac ❑ Hand Detivcry Ice ehssLQ, None CI Box ❑ YES I"i NO ❑ <br /> BC Lab FW1d Serwice ri Otbor D (Specify) Other 0 pecify)� W S <br /> Refrigerants Icc' ❑ Blue Ice ❑ Nontl Other ❑ Comments . <br /> Cuatady Seals Its Cheat ❑ CtSnkainets. ❑ N omrnanta: <br /> s,.C1�FIa <br /> All snlnples recclvad? Yes No 0 All samplas eontatners entact7 Yes Na C) DW01)(11A40 match COG? Yes No ❑ <br /> COC ReceivQd EmksivItYt Canrrtnar nester Ot Datcfrime <br /> S ❑ NO <br /> Tem aratura : ( A l <br /> SAMPLE NUMBERS . . <br /> SAMPLE CONTAMIts <br /> 4 5 n . . . 7 0_ . . � . ... 10 ._ . <br /> PR I.N RS <br /> Coal Iaa 116H M OATIMS <br /> 201 <br /> 1' L4UItGANIC [+IIEh1it1A6 NwirAr S _ -- <br /> 1NORGAMCOt[ihf CALMETALMae / Sul 160x <br /> VTNIYAO!j.� <br /> _ TQTALSLT.PtvE <br /> 2ar_ NrCR. 'P81NlYYu1Z.. ... . <br /> I'1' Cli�httC:AL OXYt,. N DF.MANU <br /> 14A 14040LKN <br /> 42MI VOA VIAL IRAMA RIANIK <br /> ;Onai.WA VIAE <br /> fii',t X64 ._ <br /> Pr 000rt <br /> 141U[n1.iGGr .AL <br /> BArlsRIM ICAC <br /> 0Ml VUA VIAL- 004 <br /> I' RPA� <br /> T ILTA 515,11 In -. <br /> r F�!r> X35 <br /> PErAmTRAvnLvr.AN% <br /> IEPASt7 <br /> Out%] RIFA 531.7 _. <br /> Buz EPA 549 _..... _ . . <br /> T FIV A $49 <br /> QT EPA I01S <br /> TEPA 921E <br /> Pax l Idaz I Max 1A.q _ <br /> SOIL SUMVE <br /> PLASTIC nAc <br /> TEDLARBAC <br /> e�fa11uI1� 1nrt <br /> LiNCORE _. _ <br /> WART KIT <br /> S[R4MA CANIsrEtt <br /> Cotnmants: <br /> SanPIe Nunfburing Completed By:� natetT ne; _ Z 2t c51�t2afa <br /> A Actual 1 C = Carrocted � J tsyscorur. <nt Gzt3twmaVsvmecav mi <br /> The re,suliy in this report apply to the samples ana(pwd fu accotrlance irah the chair of cuslody document . Thiy analVlical report must he reproducer) in ily enindety. <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: 1000854621 4100 Atlas Court Bakersfield , CA 93308 (661 ) 3274911 FAX (661 ) 327-1918 www, bclabs.com Page 4 of 40 <br />