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Laboratories Inc. <br /> s . <br /> Environmental Tesfing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1102917 Page 5 of 6 <br /> BC LABORATORIES WC. COOLER RECEIPT FORM Aev.Na.12 _ 121`30no Pege Oi <br /> Submission#-- <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Fedaml Express ❑ ,QUIPS Cl Hand Delivery ❑ Ice ChegvivLl Nene <br /> ic <br /> SC Lab Field Serve Jr Others Sc,peYl I foe ❑ Othor ❑(Speeayl _ <br /> Relrlgerane Ice Blue Ice C None 0 Gttlet C Comments: <br /> Ciustody Seals Ice Chest U Contalnem O Nona,Z17 Commerns: <br /> .V Nn❑ // <br /> Aa mmphn reCeivoe? No C. All Fantplaa COnte�M+ M lots¢[? VIM No 0 Doac bMioolal otatch CCC? Yp No n <br /> COC Received "nWhy: Container: ' Tbetno ."ar 10;,M:; o telTurl. <br /> Temraat <br /> rorel I A l 1-°l •C l t e 1_ 1 .�t •C Analyst 101.❑NO J <br /> $AMPLE NUMSM <br /> $AMYL[GONTAIHfaS x - 1 E S 6 7 a e le <br /> GEYERAL MFVFRAL( PNFRAL FHY5ICM <br /> OR K.VhP0.f.St0.YT.D <br /> T URCA9IC CRL'MIGLMETAL$ <br /> fT 1R MYFCCNENrfAL.KIETAL9 1 <br /> RCYANL <br /> R NtTROG Ma. <br /> RTtTfLLSULita ' <br /> s ,.�t't_AAT rrc rmTE <br /> PTT[Yfwt wNICC n <br /> Yr TDA <br /> R CRLMtf:AL OA VCEN Ol:M <br /> FSA TMENd 1 <br /> apm1VOA.•IALTt4NELn ANK _ <br /> iaml " L MV1.LL 1 <br /> TFI!�.�n <br /> PT A <br /> RAeIOLMICAl <br /> aACTER.WLOC[CAL <br /> Se nl NDA.'IAL- ; <br /> 1'EPA!0ea04�aW <br /> TEM .111wo <br /> QC Ems!•:L.�-�_. <br /> 01 CPA All KA+LL 01..n9 <br /> Ifavn ErA 511 <br /> 1 Wall EVA MI <br /> T EPASat <br /> OT EPA SOL <br /> EPAett <br /> TEPA➢¢ie+ r <br /> T w,NM1Ert <br /> sm.JAR <br /> ]?OZJAR <br /> MIL-M.MVE <br /> KU VIAL <br /> . Asnc LAC <br /> F.AR e 1t <br /> wCOat _ <br /> Comm6n c <br /> Eamrya Nvmbwng Camaleted aY:---+�yl D.L. e: _ <br /> A - A0.0 ! C Cwranad /IM4 �� W <br /> ' �/]-•f� �' tCM�OCmnreanrneStAF OOCIWPUFtFMutetl <br /> The resulu in this report apply 10 The sampler amlyzed in accordance with the chain ofcwfody docunl nt This analytical report alta be reproduced in as entirety. <br /> til mugs listed in this ra unt arc to,we"chow¢Yee of the FubmitdnR MV.BC LLbomeriu,Inc,sons no am,nnuibllity rot report ailcuti o,separatim deteobme n or thud poly ctamnwica. <br /> 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 tvww.bclabs.com Page 8 o188 <br />