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M��ort�or�eS�nc.entaingLboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1204246 Page 2 of 6 <br /> ' BC LABORATORIES INC. SAMPLE RECEIPT FORM Rau.Na.12 0612Uo8 Page Of <br /> Submission#: ��— <br /> SHIPPING INFORMATION' ,SHIPPING CONTAINER Federal Express C3S❑ Hand Delivery ❑ Ice ChesV6 None O <br /> BC Lab Field Service Other O(Specify) Box ❑ Omer ❑(Specify) <br /> Refrigerant: Ice Q0 Blue Ice❑ None❑ Other❑ Comments: <br /> Custody Seals Ice Chest❑ Containers❑ None Comments: <br /> Inca "'.xo IntacVYe <br /> All samples received? Yes X No U All samples containers Intact? Yes No❑ Descripnon(s)match COC? Yea No ❑ <br /> ,YES COCRecei NO ed Emissivity: V r B Container: Thermometer lD: 111 Date/Time 3-6-)�=3 <br /> Temperature:A L-1 rt-} •C / C C Analyst Inil iU <br /> ' SAMPLE CONTAINERS 1 2 2 4 1 1 3 1 4 t1 <br /> OTGENERALMINERAUGENERAL PHYSICAL <br /> PT PE"USERVED <br /> T INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> ' PT TOTAL SULFIDE <br /> lac N2TRATE t MTRITE <br /> PT TOTAL ORGANIC CA ON <br /> PT TO% <br /> PT CHEMICAL O%\'GEN DEMAND <br /> PIA PlUNCILICS <br /> 40-1 VOA VlAL TMVEL FLANK <br /> ' 40-1 VOA VIAL I 1 1 1 1 1 11 1 1 <br /> T EPA 4111,413,14 11.1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> ' BACr BIOLOGICAL <br /> 40 ml VOA VTAL-94 <br /> T EPA M8160818010 <br /> T EPA 51 i Its 150 <br /> ' TEPA I's <br /> T EPA 525 TRA VEL BLANK <br /> 100-1 EPA sit <br /> 100-1 EPA 531.1 <br /> T EPA 548 <br /> T EPA 549 <br /> T EPA 632 <br /> T EPA 101561 <br /> T AMBER <br /> EOL 3AB <br /> 32 O2.JAB <br /> 5 IL SLEEVE <br /> PCe VIAL <br /> PLASTIC BAC <br /> FERRO SIBON <br /> ' ENCORE <br /> Comments: <br /> Sample Nu mluin;g Completed By: Datefrlme j� t <br /> A=Actual I C=Corroded (l8�)N36Ocswvemue .OCS70flM5'SAMeaC1WP0j <br /> 1 <br /> The results in this report apply in the samples analyzed in accenheav uth the chain of cusrody document This analytical report must be reproduced in its entirety <br /> All results listed in this report are for the exclusive use ofthe submininR sarty. BCLrboratories,Inn assumes no«spomibiliry for report slmmtion,separatur,detechmentorthirdpanY interpretstion. <br /> 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 sv\Yw.bdabs.com Page 5 of 88 <br /> i <br />