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J. Laboratories Inc. .. <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custody and Cooler Receipt Form for 1105849 Page 2 of 2 <br />BG tA6C+FiRC®ratFs INC- <br />Submission <br />PtC_ SAMPLE RECEIPT !-t,3FKM sem, mcm ra ve�—wo . -.1+. <br />SutrlistExpress <br />4 <br />�Sil3PPlfifC INFORMATION <br />SHIPPING CONTAINER <br />Federal ❑ PS Flanii pstivery Cy ice CYre�t�T None t3 <br />BC Lab ervacc othef 0 (specify Box 0 Other 0 (SpeciNI <br />Refrigerant, lc.e Gr Blue <br />Ice 0 None 0 Other ❑ Comments' <br />cusEaslySeats Contairlersa N- Commentst <br />1n ?y No .. - .. <br />De%cri n <br />A11 3&mpsamplesrecLa+t�d3 Wes ❑ All saraptas cv�Etainers IE,eaciT Y •` No 0istsQ ( a 1 ental C1 Yti No E3 <br />OC Received Erltlsstrity; (—:>8e_; container. Thermr ter ID: aatett ime 9,12 f z t <br />YES ❑ N O TQtanpQrature:A � � aC r c 3 i gc Atlatystlrtltjkzh) <br />SAMPLE C4KTAINMS 1 i 3 4 5 c r � �m °_ sa <br />191 i'aEPfERAL ttiNERAU GFNERAL PHY51[;AL . <br />PT Pt UVPRLSEAV'ED <br />T 114MCANIC C: AAWAL TFTAL,S <br />:W,t 9'&1EM Cat. NtEYAl,C .. ._. .. <br />F^I <br />CYANIDE <br />P? 3V1FRpt^ EPS FO+R.a <br />FTT al. Ii_fBOq: - <br />fat 1YPy._xTT.l filTRt7' .. _ _... <br />fT T R :AN1C N <br />PT CHEMIC0. Y .f1V DE. . <br />aql VQw VJ,,LrTRAV'BL R -"F: <br />.-.....—.. s E i t <br />40ml A VLAL 1 1. l E E 1 C t A r <br />T EPA 4.13.f 4 13.L a 7 -. <br />PT ODOR <br />RADIOLOCIC&L <br />ea.CTEH: OLOCiCAL _._. <br />40 t VOA VW1 AOS - <br />�T F.a 361aJ6a81Ritii6 l ,.;. _ <br />T Eft ' -.Ilat iG <br />T EPA 3:1 <br />..... :x.,... <br />T ERA $I$ <br />_ 1+EL AthSC+"It <br />i{f6.. 1 F2A 517 .. <br />T EP'A,543 <br />T 5!' 519 <br />T LFA 6.) _... .. ,:. <br />T EPA NUN _ <br />aT AEti$ 'R <br />aoz.� re <br />31 OL JAR 5 I. <br />1 <br />.OIL EE <br />- <br />rL,asnL tIAG <br />S.�mPPs Nuart�aoring comply -.ed Or. pIslTima: <br />A a Adult 1 C a C'arrVCI4'e-` 1n:3o0!Csteaa6an:aart[k'k�StFotme;ls: MS%f4kr '!eb <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 is this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation - <br />4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bolabs.com Page 4 of 13 <br />• <br />• <br />