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Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1102917 Page 6 of 6 <br /> BC t.ABrIAATOR(iS INC. COOLER RECEIPT FORM RAs.Na.T2 12+30110 Pa <br /> Submission#: <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Rodent Express LI ,.,r,y�UIPS O Naa Nand Oeivery ❑ Ice CheNane U <br /> SC Lab Field Service ( other O(Spepify) Box 7 Other :: (Specify; <br /> gefdgerant: Ice $hie Ice O Mane ❑ Other El Comments; <br /> Custody Seals Ice Chest❑ Containers t7 NanoaT)Comments: <br /> All seTPles rec.'i F'c�'91 No❑ NI.argyles emtoblere muct? Y Ne O OPioepifonl;l Plawh C4o2 YP Nv ❑ <br /> COC Received - 6mRsiviiy: 0IC. Coniallwr: . Tfwm�memrltr. ueternmP*;L-iR1 -tl 2fs( <br /> PES ❑NO Tamperaters! 1 AI a•�'c r (C ; gJ.0 'C Anslyn Wit <br /> SAMPLE NNMMAS <br /> SAMPLEGONtAINEas t J I L o } b 4 lP <br /> RFNFaA!MINERAV GGNfJL4 pNV41 AL y <br /> fT R UNL'RESGP VGe <br /> TINORSANICCREbitCALJI AIS , <br /> PTI O GANuc CHEMr A L At <br /> T7 cyAnipE <br /> Pr rnlxocerc2 RM <br /> P Y. Fib <br /> zu.NITiGTEi NITRITE <br /> rfTT.A'.nen ptMA h <br /> spircbEseC.,LOXV NOENIANe <br /> ru MENOLI[S .. <br /> 40MI VOA VIAL TAAVML ULARK <br /> a0ml v0,1 v A I I I I 1 <br /> SIT .1 RAa a is a Ya <br /> an cine <br /> RAMOLOmf M. - ( — <br /> RACTERIOCOOfCAL <br /> e ml VOA VIAL.IIT O <br /> T ErA y1RNeENON <br /> T EFA 10ME u <br /> SPP is <br /> OT PI•A'Zi rm W EL RtryN <br /> [eeml EP11 <br /> iw,.,fir.111,t <br /> T F.P. Ve <br /> EPa[O <br /> T PAUL <br /> TQAEe SLI <br /> T t <br /> k7—1wR <br /> Ke VGL <br /> PL,.iLTIC R.L4: <br /> tBE <br /> ROISIRON <br /> EAEW Lyafl <br /> Comments: / <br /> SPnipltw.l e.+iC COrIW BY= <br /> A=ALePhI r C=Cortected <br /> IL:N1Aea3WMroa�Nc�IA4_ OY)RIAISALiRc:l <br /> The roulu in this report apply to the sampler analyred in accordance with the choirs of cusfody document This awb4ical report mutt be reproduced in iu entirety. <br /> Ailr lu listed in this reportare fate eselssive use ofthesubmilin9Da1y.BC lAboraurim,Ivc.msammmrnpombiliry for reportdwtioo,eeimntion,drmchmevt of ILird party intemrwtim. <br /> 4100 Atlas Coun Bakersfield,CA 93308 (661)327-4911 FAX(661)327-19`18 w ,bdabs.com Page 9 of 88 <br />