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i Laboratories Inc. I���, <br /> Environmental Testing laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1012151 Page 10 of 13 <br /> EC LABORATORIES INC, - SAMPLE RECEIPT FORM �aay.NeT.a 46(24"08 Page 3Of , <br /> 5 ubnrniss <br /> on 11— e�EJC" t. <br /> — SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Express in wSU.PS0 Hand Delivery 12 Ice Chest,L� None ❑ <br /> `BC Iab Field Service T Olber❑(specify) Box ❑ Other 0(SpOtIM <br /> Refrigerant:` Ice Blue Ice❑ None C Other❑ Comments: <br /> Custody Seals£Ice Chest Ct CDntalners In None WIvomments: <br /> Inca?Yvs N. Imsace?Yes D Nv O 1 <br /> All'samples received? Yes - NoO ul samples centalaars Intact? Yesg,..No0 Oesalptlon(s)match COC7 Yes No O <br /> COC Received EmissMty: r�G$. C Wner.,\f12C_ Therlaomater 10: JtA2 Daterrime%$iZID <br /> ' 'YES 0 ND Temperature;A� a.A -C I C a.u______ •C Anatpsllnit cls Z <br /> ll <br /> SAMPLE CONTAINERS <br /> OT 6ENE.4AL N11KERA4'GENERAL PIIY51CAL <br /> PY PE L fi'r11'SERVED <br /> DT_IMQR�4,�ICtNF.MIt'.AL At ETALS <br /> PT INORCMIC CtMWCAL NET. LS <br /> PT CYANIDE <br /> Y'f 1TH 6rKK ROTS <br /> PT TOTAL SBLPmE <br /> Inc XITRATS I NITRITE <br /> PTTOTAL ORGANIC CARBON <br /> PT TOX <br /> FT. . MCAL EN DE06M <br /> I'm PHENOLICS <br /> 40'a vo,%ViAL T Am.IIANK <br /> 40.1 VOA VEAL 1 1 1 4 l l i 1 1 t 1 I f <br /> PPX 411.1 1115 414-1 <br /> PT ODOR <br /> NADIDLOf.1GAi <br /> -SAM <br /> RIOLOSICAL <br /> OT EPA 548nO M894 <br /> 4T SPA SL9.kd91W •' ' <br /> T EPx 4-25 - AV'E]�m.ANR <br /> 14Om1 EPA 54T <br /> reemlSPA 531.1 <br /> err FP <br /> 93.EP6 seg <br /> T EPA 02 <br /> 7 EPASO15M 4� <br /> ANGER <br /> dor�.e <br /> 72 0? JA ` <br /> snn BSt•E <br /> PCO VIAL - <br /> P[.AS i1CR C ' <br /> LRA i R <br /> ENCORL <br /> r_crnmentn <br /> Sa rnpla NumDcriag CvrvpMtnd lay' OalvfTjme- 'p <br /> The results in thin report apply to the ccs-, '; rd ir.accordance with the chain cmlyticvl report must be reproduced in 1n <br /> .411 suits listed in Ns rnpoawc fw tla uclusv,,r .:a:i:ringwm. BC Labontvrin,ine.>wmo nu w+ .31¢;': ;:ur,almrion,sepundOn,demrAment ar Nird o:v': '..:::u.. <br /> 4100 Atlas Cocc E._ke,field,CA 93308 (661)327-4911 FAX tH l i., .918 w .bdabs.com '=.cs 3 of 87 <br />