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Laboratories, Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1318016 Page 2 of 2 <br /> HM No. 4b UJ/Ul/13 Page UT <br /> Submission##: <br /> 5 H'FrPIWG-I`NFEYFQWAT;ON —FREE-Itliatim— - <br /> Federal Express 0 UPS 0 Hand Delivery Ice Chest 14 None 0 Box 0 YES 0 NO Ej <br /> EIC Lab Field Service Other 0 IS,pe.ffy)�_ Other 0 ISpeilyl <br /> Refrigerant: Ice W Blue Ice 0 None 0 Other 0 Comments: <br /> Custody Seals None Comments: <br /> All samples received? Yejr N.0 All so-pies containers intact? Yc!&k-No-E) Desceiptionisl match CDC? Ye 'No <br /> . <br /> COC Received Emissivity: 0-1�9 Container: Therm-lerit): Dalerrime <br /> YES 0 NO Temperature: J A) % C Analyst Init. <br /> -C I C I L�'& <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> QT GENERAL MINERAL/GENERAL <br /> PfPEUNPRESERVED %:& C_ <br /> QT INORGAMC CHEMICAL METALS <br /> PT INORGANIC ClIENICAL METALS <br /> FT CYANIDE <br /> 1'r?QTRDGF-N FORMS <br /> PT TOTAL SULFIDE <br /> loz NITRATE t NrrRrM <br /> FIT TOTAL ORGANIC CARBON <br /> F'r-TOR <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS <br /> 40mJ VOA VIAL TRAVEL BLANK <br /> 40..J VOA VIAL 31 1 1 1 1 1 1 1 1 1 <br /> OT rp, ""L" <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 W VOA VL&L,594 <br /> OT EPA 5911K08111080 <br /> S2T EPA 515.1/8150 <br /> OT EPA 525 <br /> OT EPA 525 TRAVEL BLANK I <br /> 1011ai1 EPA 547 <br /> 100ro1 EPA 5313 <br /> OT EPA 548 <br /> QT EPA 549 <br /> TEPA GP_ <br /> OT EPA 8015M <br /> OT AMBER <br /> S 07-JAR <br /> 32 OL JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASnCBAC <br /> FERROUS IRON I <br /> ENCORE <br /> IS114ARTIOT <br /> ISumma Canister <br /> Commenls- <br /> Sampie Wurnberingcornpleted 11y: Datemme: <br /> 11 = Actual I C = <br /> I <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 we of the submitting party. BC Laboratories,Inc.assumes no responsibility for report aherinion,separatim detachment or third party interpretation- <br /> 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bciabs.com Page 4 of 20 <br />