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Laboratories Inca <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1014319 Page 5 of S <br /> Submission N: l7�lt-(3 <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Express ❑ UPS❑ Hand Delivery ❑ Ice Chesllp�' None ❑ <br /> BC Lab Field Service "POther O(Specify) Box ❑ Other O..(Specity) <br /> Refrigerant: Ice'p Blue Ice❑ None❑ Other O Comments: <br /> Custody Seals Ice Chest OContainers❑ Noneg Comments: <br /> Intact]Yes O No Intact],as <br /> No <br /> All samples received? Ves No0 All samples containers inlact7 Yes,' No O Oesc0ptionls)match COC? Yes o No O <br /> COC Received Emissivity: 0,"LS Container: Therm.mel.11D: IU3 DateRlme 1 -A9-I <br /> 1 YES ❑NO \C J <br /> . Temperature:A I ,lD •C 1 C LLD 'C Analyst Y Inst. Q <br /> SAMPLE CQNTAINERS r p 3 4 5 1 5 ] B 9 tv <br /> OT GENERAL MINERAL(GENERAL PHYSICAL <br /> PT PE 11HPRESERVE1, <br /> T INORGANIC CHEMICAL METALS <br /> PT INORGANIC'CITEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2—NITRATE I NITRITE <br /> PT TOTAL ORGAIaC CARBON '- <br /> PT TOX <br /> PT 0961I CAL OXYGEN DEMAND <br /> PIA PIIENOLIC <br /> 40.1 VOA VIAL TRAVEL BLANK <br /> 40m1 VOA V1A1. 1 1 1 11 1 11 I I 1 1 I 11 <br /> T EPA 413.1 413.1 419.1 <br /> PT ODOR <br /> 4LnelOLOGICAL <br /> MACTEMOLDCICAL <br /> 40.1 VOA V1A1.504 <br /> i EPA S V609I6080.. <br /> TEPASIS.MI50 <br /> T EPA 515 <br /> TEPA S25 TRAVEL HLANH <br /> 100.1 EPA 547 <br /> 300.1 EPA 531.1 <br /> T EPA 549 <br /> QTEP 549 <br /> T EPA 631 <br /> T EPA 6015M <br /> TAMBER <br /> B OZ JAR <br /> 32 OL]AR <br /> SOILSLEEVE <br /> PCH VIAL <br /> PI.ASfiC BAG _ <br /> FERROUS IRON <br /> ENCORE <br /> Comments: J <br /> Bamply Numbering Completed By: OBIeRimv: O' – `–1 <br /> A=Actual I C=Corrected - ✓p1a0oC51WYAo11Ao n0C51FORM515PInnEC1WPo1 <br /> The results in this report apply to the samples anal r_ed in accordance with the chain of custody document. This analytical report must be reproduced in its entirely. <br /> s <br /> All results listed in this repoarc far the e.Xclusive use ofie hsubmitting party BC Labon mrics,Inc.assumes no responsibility for report alteration separation,demcl meal or third party interpretation <br /> 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bciabs.com Page 8 of 58 <br />