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i <br /> ' Laboratories Inc. <br /> 1 Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1523812 Page 2 of 2 <br /> Page Of <br /> Be LABORATORIES INC. - COOLER RECEIPT FORM <br /> mission #: FREE LIQUID <br /> SHIPPING CONTAINER <br /> SHIPPING INFORMATION Ice Chest None 0 Box 0 YES ❑ NO ❑ <br /> ' Fed Ex 0 UPS 0 Ontrac 0 Hand Del very O Other O(SpeciTy) <br /> Be Lab Field Service la. Other C1(Specify) <br /> Refrigerant: Ice JD, Blue Ice 171 None❑ Other❑ Comments: <br /> '- CDr ae c None Comments: <br /> Custody Seals Ice 4Chest L7 s <br /> s <br /> All-ample-received? Yes 14 ❑ All samples contdners intact? Yes No❑ <br /> Oesedpdon(sl match COC? Yes No 0 <br /> Emissiv(ty: Q,Q7 Cpndine <br /> Thems"Feem.lDa3D g Oate/f'ime a IS <br /> ' COC Received .0 Anal "nit I� <br /> VES El NO Tem r.emture: (A 1 °C / 1 C I <br /> .__._ —.SAMPLE-NUMEFAS— <br /> SAMPLE CONTAINERS t x a a <br /> ' <br /> TPEIM <br /> 4ox'jiss,ms 60: e1meREs <br /> to,cr. <br /> INORGANIC CNWIOCALhtETAL3. — <br /> n.`ORGAMC Celp auCAL METALS 4,m/thus/lies <br /> Pr CYAMDE <br /> PC MTl10GE01 FORMS <br /> PP TOTAL suLFmE <br /> be MTRATE/MTNTE .. . <br /> ,TUTALORGAMCCrrRBON <br /> zR c1aMLciL oxvcEN01iMAND . <br /> I <br /> ' LiAPI�NOLICs <br /> 40m1 VOA VLAL TRAVELOLANR <br /> 40m1 VOA VIAL <br /> EPA 166/ <br /> P[ODOR <br /> RADIOLOGICAL I <br /> BACrERIOLOCifsr. <br /> 40m1V(,AV -5M <br /> TEPA506/OMOSO <br /> ' TEPA515.1/819) <br /> T EPA Sts i <br /> TRPA=TRAVELBLANR <br /> 4oml EPA 547 <br /> I 40al EPA01.1 <br /> Roz EPA549 <br /> T EPA 549 <br /> T EPA 8015M <br /> ' TEPA 8270 <br /> 9-z/l6oz/]cox AMBER <br /> Boz/16-z/llaz JAR <br /> son.SLEEVE 'I <br /> ' PCB VIAL <br /> PLASTLCBAG <br /> TEDI,AA BAG <br /> 1 <br /> FERROUS iRON <br /> ENCORE f <br /> SMART x1T I <br /> SUMMA CANISTER <br /> 207/24/216 <br /> Sample Numbering Completed By: Nmseazvr ® o4 <br /> -_A = Actual / C.Corrontad <br /> ' The results in this report apply to the samples analyzed in accordance with the chain of custody document This analytical report most be reproduced in its entirely. <br /> All results listed in this mean am far the exclusive use ofthe submitting Party. BC Labmetones.Inc.asmma no attainability for mWit alteration,separation.detachment or third Deny interamsaoon. <br /> 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 v/ww.bclabs.com Page 4 of 29 <br /> Report ID: 1000403978 <br />