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ill 11 <br /> Laboratories, Inc. 1.11,um <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1218782 Page 6 of 6 <br /> Ra _ FORM Rev.Nn.13 08117112 Page f7f <br /> Tbmission 1;t: Irl <br /> SHIPPING INFURIVIATION SHIPPING CONTAINER <br /> Federal Express IJ UPS O Hand Delivery Cl Ice Chest F� Alone d <br /> BC Lab Field Service Other❑ ISpecifyl Box p Other ❑ JSpeeifyl <br /> Refrigerant; Jce Blue Ice ❑ None 0 Other❑ Comments: <br /> Custody Seals Ice Chest ❑ Conlainers❑ None Cummerrls: <br /> 1rct2 Ye ' S_t7.. <br /> All samples received? YEs Na 0 Ail samples canlainars intact? Yes Ida L] Ut criptionlsl match COC? Ye No <br /> 6TS <br /> COC Received Emissivity: Contalner: Thermometer ID•G/LJ l Dalel7ime 1o1Zr I'2- <br /> 4�YES 0 N <br /> Temperature: I A) f�—IC ! [C y�' _5 ^C Anatysl Init <br /> SAMPLE CONTAINERS SAMPLE NUMBERS <br /> V21 <br /> 4 $ 6 r a e <br /> 07 ENfRA MINERAL!GENERAL PHYSICAL <br /> ID <br /> PT PE JVPRESERVED <br /> T lNpRGAN7 C CtlElvl]CAL hUTTALS <br /> P7'JI46RI:ANICC[iJ�A11CALh1L`I'A.LS <br /> PT CYAIa1DE <br /> PT NITIi0G EN FOlU IS <br /> !"r'rarAL SULFIDE <br /> Sax.NITRATE iNI'MUTF. <br /> P'r,rOTAL ORGANIC ITAIMON <br /> PT TOR <br /> PT CI{Fh1JCAl-OXYGEN DEMAND ` <br /> Pr A PHENOLICS <br /> 40nt1 VOA VIAILTRI VEL BLANK <br /> 460d VOA VIAL <br /> rTEPPAii�.l.ali.F d1A.1 ` <br /> 1'T ODUII <br /> _ I <br /> sty I1lOt.UGtC.;1. <br /> IFI A MILIOU)C IC iL — <br /> 40 nd VDA VIAJ,�50 <br /> I <br /> OT EVIV 308161BANI80 <br /> OT FPA 315.2/8150 <br /> T CPA sm <br /> T EPA 525 TR-AV[L HLArYK <br /> JDRmI EJ'A 547 <br /> looms EPA 531.1 <br /> OT EPA 548 <br /> OT EPA 349 <br /> QT EJ'A 632 <br /> OT CPA 80J5h1 <br /> 07'AM II CA <br /> 0,4.3Z.JAR <br /> 32 02.,IAlt <br /> 3DILSLEEVL <br /> PCR VIAL <br /> J'LASTIC BAC <br /> F-'111,11011s IRGJV�—_ — <br /> ENC noir <br /> SAIANT KIT <br /> ommants: <br /> ample plumb arhigCompleted BV:_� <br /> = r:r:EV.d C - Carrerled DorvJTime•._.� _ � <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 parr•BC Laboratories,Inc.assumes no responsibility for report alteratiort separation,detachment or third party interpretation <br /> 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 9 of 60 <br />