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Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1414636 Page 2 of 2 <br /> BC LABORATORIES INC. COOLER RECEIPT FORM Rev.No.17 06/05114 Page==I Of 1 <br /> Submission#:'I <br /> SHIPPING INFORMATION SHI PING CONTAINER FREE LIQUID <br /> Federal Express ❑ UPS❑ Hand Delivery ❑ Ice Chest^ None ❑ Box ❑ YES ❑ NO ❑ <br /> BC Lab Field Service )< Other❑(Specify) Other ❑(Specify) <br /> Refrigerant: Ice Blue Ice❑ None❑ Other❑ Comments: <br /> Custody Seals Ice Chest Contalners Is None❑ Comments; <br /> All samples received? Yeah No❑ All samples colrtalnera intact? Yes.Ll No D Desedeviants)match COC? Yea d No ❑ <br /> OC Received Emissivity: �Container: Thermometer ID:'2'0+ Datelrima I <br /> ,YES ❑ NO <br /> Tem eratura: (A) 2. °C I to 3, o °C Analyst Inst <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> f 3 9 4 6 6 J 8 9 10 <br /> T GENERAL MINERAL GENERAL <br /> PT PSIINPRR868VED ' <br /> TINORGANICCfU%1K24r.METALS <br /> Pf A'ORGANC CIffiInICAL METALS <br /> yr CYANIDE <br /> PI'NTROGENHOEMS <br /> PT=,lz SULFIDE <br /> 2na NITRATE/NTTRTIE <br /> Pr TOTALORGANCCARBON <br /> PTTOX <br /> IT CTD:MICI L OXYGEN DRMAND <br /> PIA PHENOLICS <br /> 40m1 VOA VIAL TRAVEL BLANK <br /> 40.1 VOA VIAL i INI t t ?l i �H : ipri—A, <br /> 6PA413.1 413.3 418.1 <br /> "ODOR <br /> RADIOIAGICAL <br /> BACTERIOLOGICAL <br /> 40.1 VOA VIAL-504 <br /> HRA 508/60ventt0 <br /> logASULL3150 <br /> TElli <br /> EPA 525 TRAVELiiLANK <br /> 40ml EPA 547 <br /> 40.1 RPA 531.1 <br /> Boz Amba BPA548 <br /> BPA 549 <br /> T EPA 633 <br /> OT EPA 9015M <br /> T AMBER <br /> 80Z AR <br /> 3202 JAR <br /> son.SLERVE <br /> PCB VIAL <br /> PLASTICBAG <br /> FERROUS IRON <br /> ENCORR <br /> SMARTEIT <br /> Sunutsa Cmstsfer <br /> Comments' '* <br /> Sample Numbering Completed By: - Dnlerllme. ISAwPluniVi OmPeNenlAe ooesvaR67sn3MaEc16 <br /> The results in this report apply to the samples analyzed in accordance with the chain ofcusmdy document.This analytical report most be reproduced in its eMtrey.. <br /> All results listed in this report are for the exclusive use of the submitting marry. BC Laboratories,Inc.az o responsibility for repot abrasion,separation,detachment or third party intanoom ion. <br /> Report ID: 1000252658 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 6vivotth labs.com page 4 of 22 <br />