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Laboratories. Inc. 1�1�� <br /> Enwonmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1012151 Page 11 of 13 <br /> Ito— <br /> _`- 5HlPPIHG COYYA1hfER <br /> SHIFPfAlC, udFQRMA110H <br /> ederst Ezprv4s D UPS D Y._nc Dc:ivery C� Ica Chsal J None B <br /> ;C. irD Fisld$ervice'CL trlass Q ISpccltjt Soy ❑ CNheS G(Speciry) <br /> e Erigor rrf: .re, X1 1=r e7_h!cr='C� ()I het Q comments: _ I <br /> :fl9tody Seat; ice Chencwtaln,ErsQ "! ne�Comments: I- <br /> Ap Gp lcd4 TY • : Ird J <br /> IN EamplCs rECCI'/Frt? toi NCO All serepkS LaAternerE Mtatt4 ye Nou De GeOS1MW match COC? Te -No0 <br /> t <br /> �LCOG RECaiveti Emis:evlry; l Container:_Z,E`" �.YnE.,,ralrl,:te:fo: l its=. Dstei'rrme <br /> YES ❑NO TP: pe: re:a+uA �'�.�i -C 1 C Ll� Y A-lyat trait rS#a.L y~ <br /> iii .—. -u.��—•.ti,�� <br /> AN,1PI f NI AARFRS _ <br /> SArl PIE CONTAINERS i 2 ] a I 5 c <br /> GT CEpx. LIAHEAAu GE L <br /> o- <br /> PTrl. <br /> DT L <br /> INOAr.4NCAG+Kif <br /> oT tNCEG IVIC V=�sl(:aL hf):7�ti 15„ ' , <br /> PT 'W:CE <br /> PT]xteoc�Nr lull ��. f <br /> - <br /> ]...MrFR.tTL•7kITAr1'E <br /> i <br /> CT 70'aEOfiEANI �aA@ <br /> PT Ttrt <br /> PT CHFM1SiGtLOYYGEN eEHakrJ' ,,, - <br /> .�iA PNEnY)13[3 i <br /> +cmt vo.1 YL TAnv[L AHK '^ <br /> I EIA nLl,it]�.1NAi <br /> PT MA <br /> �aj.rTFR:OLOC1Ci <br /> .te al yOA VL14 SP1 1 <br /> lor tra way M6 y <br /> o-r ora 31 s.wl:a <br /> �qT tP <br /> QT 51x 5:5 T5G5'E_A1.xPt1; <br /> if_IOGmi FFA 5J] a - <br /> IIDW Era 521. <br /> PT A511 <br /> II CST EPA 349 <br /> 131 5 <br /> 7Le..s�Al;M ' <br /> Il `1 s <br /> 3 6L J1N ` <br /> 331 92 r.. <br /> 5 Ii 51.£EP— <br /> PCe%i,�l_.. _ <br /> PLA5I IC 9.\C ' ! <br /> iE 0.PUL5 IA tlx I � <br /> Co ones: - •ria <br /> C=,Co !ecioC - WeexF•;ocvv :_.xgspla., - •- <br /> esuhs m this report apply to Me Sampler dl,wbh the chain ofemtody docvmepr.A. r epn rmat be reproduced in it,entirety. <br /> ail scA m mis rcporc m for the emlmive use of the Fm - ;. b .ahommria,lpa asoma oo tespwisibJiry for rcpt _...._.,;,s;permwn,Aerzchment a Nerd party ipieeprcraupa <br /> 4100 Atlas Court Bakershcic.CA 93308 (661)327-4911 FAX(661)327-1918 ,v w.bclabs.com Pace ' -' <br />