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Laboratories Inc, <br /> i <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1014319 Page 4 of 8 <br /> V V SHIPPING INFORMATION SHIPPING CONTAINER <br /> None ❑ <br /> Federal Express O UPS O Hand Delivery ❑ Ice CBaxt O Other ❑-(5peci ty) <br /> BC Lab Field 5ervlce Other O(Specllyl <br /> Refrigerant: Ice a Blue Ice❑ None❑ Other❑ Comments: <br /> Custody SealsIce Chest O Containers❑ None(In <br /> i Comments: e <br /> Inlacll Yes No9 nuan?Yes Q No <br /> All samples,received? Yes No❑ All samples containers Intact? Ye NOD <br /> ,,--NNnOD Oescripllonls)match COC? Yes No O <br /> COC Received Emissivity: QyCIC6 COmtalner.�S.tt'lc Thermomelerl0: lU3 Oaterl ime 1Q 0-1 <br /> �]YES ❑ NOI ('-�S •C Analyst snit JIJQ <br /> Temperature:A © C / C <br /> SAMPLE CQNTAINERS 1 1 a s r 7 e a to <br /> OTGENERALMINERAGGENERAL PMYSICAL <br /> PT PE UNPRESERVED <br /> T L,ORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PTTOTALSULFIDE <br /> lm.NITRATE l NrITUTE <br /> PT TOTAL ORGANIC CARBON <br /> PT TOY <br /> PT CHEMICAL OXYGEN DEMAND <br /> Pi.A PHENOLICS <br /> 90.1 VOA VLAL TRAVEL DL.ANR 1 1 1 A I <br /> 1 1 1 1 I 1 I I. 11 <br /> 40.1 VOA VIAL <br /> T EPA 411.1 413-2410.33 <br /> PT ODOR <br /> 5 IOLOGICAL <br /> DACTENOLOGICAL <br /> 40.1 VOA VIAL.504 <br /> T EPA 5 0160810000. . <br /> T EPA115.111150 <br /> T EPA 515 <br /> T EPA SI5 TRAVEL DLANN <br /> 100.1 EPA 547 <br /> 100.1 EPA 531.1 <br /> T EPA 548 <br /> T EPA 549 <br /> T EPA 631 <br /> T EPA 8015M <br /> T AMBER <br /> 80L]Art <br /> 31 OL 1AR <br /> SOILSLEEVE <br /> PCD VIAL <br /> PLASTIC DAG - <br /> FERROUSIRON <br /> ENCORE' <br /> COmu,N.r <br /> 5nmple NDmbering Gompletod BY: ODIoRIme: <br /> A=Actual I C=LoRP(Imd - pIP00051WP9o11An nnC51FORM515AMPEC2WPm <br /> The results in this report apply to the samples analy.ed in accordance with the chain of custody document, This analytical report most be reproduced in its entirety. <br /> NI results listed in this report are for the exclusive use of the submiuine pane 13C Labomtorics,Inc.assumes no responsibility for repent ahemtimi 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 58 <br />