Laserfiche WebLink
Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1821446 Page 3 of 4 <br /> """••,"°� C Q OLI=R RECOPT FORM <br /> Suhmissiori#: - <br /> SHIPFlAlG rhlFQl�iuT,47�CIV SHIPPING CONTAWER Fi3Fa;U(Mil <br /> Fed Eu O IFPS❑ Ontrac❑ Hand Dell+rery ❑ Ice Clk� Nage 0 Box ❑ YJ=S NIG � <br /> 130 gals Fra! Service Ocher❑{SpeolCy). „ _ Other L7(SpecrfY)_.. ` <br /> Ref`69CF13trh lee Rlua 14e ❑ Alone❑ other n Co-mmenu- <br /> CustaQ'y Saaja !done k <br /> Comments; <br /> All swrlwas reaarulwa Y&4 No 4 A9 sarnpree mntarrlen hibmtt Yes 13 ko❑ 06scriplion[5] leh 0002 Yer Poo t7 <br /> COC peen ved EmrsslvJr : Conbalner: CZ Thar amelarID! C b <br /> - IxdiefTme <br /> YES 0 NO Tem eratum r A PC I ] Q r <br /> 'C Ana[ysS Init <br /> SAMPM SAMPLE.riumi s <br /> 1 s <br /> PR a E 9 16 <br /> IoElpocr160k FBTJNea1;S <br /> i <br /> T r r.�TALS <br /> 7 e ALSgnFI 116na <br /> PT N[Dde <br /> FT 7ti0& nags <br /> FT T-r3 GLPLF ¢ <br /> 3nz rri4rr*T$F7.'TP <br /> PTT(1F 4M4MW ChA..eoer - M1 <br /> r 1 ClMMr Qk DEMAND <br /> Pr r�r�uu <br /> One VL&Lr vEL.lsLANK <br /> 1 Oknl YEA rAL _ <br /> IIPh 1"4 <br /> PT It <br /> RAD()LI) — <br /> 40mr VfAT-ypq Y <br /> h <br /> r A91 n <br /> EOrw E2&w <br /> LBPA Li <br /> EPAS4 - '- <br /> Eh su <br /> TRF L I&K <br /> d daSV - - <br /> 8oaf r A7A>yE*re <br /> OW.e fab xJAR ~ <br /> IL Ru!B41s _ <br /> PrD YUL. <br /> BAG _ <br /> TEDLgL NA <br /> BJi 013�]kOt4 <br /> $Y�r�4JBS <br /> 3KA RT W <br /> 3El%26h C&WL%TRR <br /> Commcryt;j• <br /> Sampre Numberi g Cumpleled$y; <br /> A =.4cwa1 1 C= Durraoled b�rbofFlme: rYr P� eEJ77�1R�e <br /> FR45n�.rnw�wixrlAa 94duo�k51&awneaw�P <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 parry. BC Laboratories,Inc.assumes no responsibility for report alteration,separation,detachment or third party interpretation. <br /> Report ID: 1000770708 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 5 of 30 <br />