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Laboratories Inc. I,IL <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1014319 Page 8 of 8 <br /> Submission n: <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> Federal Express O UPS O Hand Delivery ❑ Ice Chest None O <br /> BC Lab Field Service If Other O(Specify) Box O Other O.(Specify) <br /> F <br /> ant: Ice's Blue Ice❑ None❑ Other❑ Comments: <br /> Seals Ice Chest❑ Containers❑ NoneW Comments:ft,e.1?Y6s No❑ Inmcl]Yez Nos received? Yes Noo All samples containers intact? Yeste No O Descripllon(s)match COC? Yes No O <br /> C Received Emissimry: (Z aS Container: The.omelet=-� Analyskmlnll <br /> e \�0'lS ❑NO Temperature:A l9 °C 1 C �.Lp JtJ <br /> SAMPLE CONTAINERS a a s as 97 9-6 s 1 to <br /> OTGENERALMINERAU GENERAL PHYSICAL <br /> PT PE IIM'RFSERVFD <br /> T MORGAMC CHEMICAL METALS <br /> PT.ORGANIC CIMMICAL META" <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 30c NITRATE t MTIUTE <br /> PT TOTAL OIIGANTC CAROON <br /> PT Tax <br /> PT CHEMICAL OXYGEN DEMAND <br /> PN PHENOLICS <br /> 40.1 YOA VULTMVEL OLANx <br /> 0-1 YOA VIAL I 11 1 11 1 1 11 1 11 <br /> T EPA 413.1 111.1 415.1 <br /> PT ODOR <br /> O IOLOGICAL <br /> BACTERIOLOGICAL <br /> 40.1 VOA V1A1.504 <br /> T EPA 50816081108(l <br /> T EPASIS.1/MSO <br /> T EPA 535 <br /> T EPA 835 TRAVEL DLA <br /> 100.1 EPA 541 <br /> 300.IEPA 531.1- <br /> T EPA 548 <br /> T EPA 549 <br /> T EPA 633 <br /> T EPA 8015M <br /> TAMDER <br /> a OL JAR <br /> 33 OL JAR <br /> SOILSLEEVE <br /> PCB V AL <br /> PLASTIC. G -- <br /> FERROUS IRON <br /> ENCOIIE <br /> CommenLs � <br /> sorrel.Numbering Completed By: > OalaRime: t)� - <br /> A=Actual I C=CorrB[ted - IN:IDOCSWP9NIAe eeCS\FORM56PMPECIWPO) <br /> The results in this report apply to the samples an6dy_ed in accordance with the chain of custody document. This analytical report must be reproduced in its entirety. <br /> All results listed in this repo"arc for the exclusive use of the s'ubmitong pany BC Laboratories,Inc.assumes no responsibility for repo"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 11 of 58 <br />