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- Laboratories, Inc.11��; I <br /> i <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1218782 Page 5 of 6 <br /> BC LABORATORIES INC. UOULER RECEIPT FORM � Rev.Ne.73 09!17!12 Page qi <br /> Submission#: r <br /> G INFORMATION S�iIPPING CONTAINER <br /> Federal Expres�7, � Hand Delivery ❑ Ica Chest I None p <br /> BC Lab Fleld Sther❑(Specify) Bax ❑ Other ❑(Specify! <br /> Refrigerant: Ice Blue Ice 0 Nona ❑ Other❑ Comments: <br /> Custody Seals Ice Chest❑ Containers❑ None Comments: <br /> All samples received? Yefu No El Alf samples containers imaCl? yes Wn❑ Dascr9ptfnnlsl match COC? Yew❑ No ❑ <br /> GOC Received Em7s:ivity:4"95 Container 71termomeler ID:00 .ISI'11'7 <br /> DatelTime <br /> YES ❑ NO r� <br /> Tsmperanna; 1 A Io!� C t I C I " "C Analyst lns 7 <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS - <br /> t <br /> OT QEUER.AL MINERAL!gENERAL PHYSICAL <br /> PT PE uNPRESCRVED <br /> T INORGAMCCUEMICALA7LTALS <br /> PT 1h10RGANtCCIIENIICAL?9ETALS <br /> 9r'r'C1'ANIDI'y <br /> FT NITROGEN FOR F,-1 <br /> PT TOTAL SULFLDE <br /> los.NITRATE t Nrr1UT9 <br /> PT TOTAL ORGANIC CARBON <br /> IT Tox <br /> PT C M11CALOXYGEN DENIAND - - — <br /> PLA PHENOLICS _..- <br /> 311,41 VGA VIAL TRAVEL aLAXIC <br /> 40QU YOA VLAL <br /> T 13PA 413.1.40.1,4A.1I'll ODOR <br /> ODOR I <br /> RADIOLOGICAL I <br /> BACTERIOLOGICAL <br /> ! --� <br /> ,Olaf YOA 1'IAL•504- <br /> ' <br /> OT EPA i1tWDLM80 <br /> OT EPA 5I5.tt815a <br /> RLLOA 935 <br /> T EPA J23 TRAVEL BLANK <br /> 180gr1 EPA 547 <br /> 108m1 EPA 331.1 <br /> T EPR 5afl <br /> OT EPA 519 T� <br /> OT EPA 633 <br /> OT EPA Ila IISAI <br /> T ANllEB <br /> s U&JA It <br /> 33 02...IAR <br /> SOIL SLEEV E <br /> f'C f VIAL <br /> PLAS71C BAG <br /> PERRou,IRON <br /> aiA Il'1'IiIT <br /> mplau.-A mplV; <br /> inq Coel_d& A _ PutSfiime;./JJJ — ��' <br /> _ ,Glu:! C = inrrscrnd <br /> The results in this report apply to the samples analyzed in accordance with the chain ofcustody 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 8 of 60 <br />