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Laboratories Inc. JY,44 <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1218782 Page 4 of 6 <br /> 13C LABORATORIES INC. uuul.tli RECEIPT FORM Rev.No. 13 OW1711z Page of <br /> Submission #t: oZ • t ' <br /> SHIPPING INFORMATION S,>IIIPP1NG CONTAINER <br /> Federal Express 17 UPS ❑ Hand Delivery 0 Ice Chest Q�• None 0 <br /> 8C Lab Feld Service d Other❑ [Specify) Boa ❑ Other Cl JSpecifyl <br /> -Refrigerant-, ice Blue Ice ❑ None ❑ Other❑ Comments: <br /> Custody Seals Ice Chest ❑ Containers❑ None Comments: <br /> All samples received? Yes No C All samples Copntainers intact? Ves No❑ Descrlptionls)mach COC7 Y No ❑ <br /> COC Reeeiverd Emissivity; k 5 Container:Qla—, "thermometer ID:prLl1 patelTime i��Z��2- <br /> C�YES © NO 4� <br /> TempErature: ;A) 3�3 `C t ;C 1�� rC Analyst Init <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> I 2 3 45 6 7 B e 10 <br /> OT GENERAL MINERAL!GENERAL PHYSICAL <br /> PT PE UAY1JtESCRVED <br /> OT INORGANICCIIENICALAIRTA-L9 <br /> PT e2 B <br /> PT CYANIDE <br /> FI'N171tOG>:N FOItA19 <br /> PT TOTAL SULNI1L <br /> 21M N WILATI:,Nrrl:a•r <br /> J'rTOTAL nRGANICCARRON A <br /> Jrr'Fox <br /> PT CIUMICALOXVGEN IJIWAND <br /> PIA PIMNOL.ICS <br /> 40.11 YDA V ZA L THA V EI.RL.1NK <br /> 40mJ NDA VIAL. I f I <br /> .QT EPA 413.i.40-L4111.1 <br /> r •anon '-' <br /> FE <br /> 1LR LilOL01:1 C'Al. <br /> EJAC'rLRlOLClGIC'.LL <br /> 40 fnl VUA VIA 1-5114 <br /> OT EIS[3ilJsrulJ J4a9JJ ry_ <br /> T EPASI5.v51so <br /> 1xI't;PA 515 <br /> '1'11PA 525'I'ft,JYGI_BLANK <br /> 100m]ERA 547 <br /> 1110m1 EPA 531.1 <br /> T r.PA$49 <br /> n-r RPA 54R <br /> T EPA Ip? <br /> r EPA x1115%1 <br /> TANIDER <br /> A oz..aan <br /> 31 f17.-.1,4R <br /> SOIL SLEEV F <br /> PCIJ VIAL <br /> J'LAST IC.IIAG <br /> r• HO11.9 [ray <br /> 51%1ANT IC IT <br /> omrnerl[e:__ �_ <br /> ample prumt.r1n[3 ConipJelerl Hy: —D areiTlrne:. ,/ -R..p,,,,,, <br /> r; Corrected L.�(IiCCI� <br /> The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must be reproduced in its entirety. <br /> All results listed in this report are for the exclusive use of the submitting party BC Laboratories,Inc,assumes no responsibility for report alteration separation,detachment or third party interpretation <br /> 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 7 of 60 <br />