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Laboratories nC. <br /> Environmental T®sting Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt f=orm for 1008252 Page 2 of 2 <br /> ....._.... - <br /> Etc Lr.BORATORIES INC. SAMPLE RECEIPT FORM Rev.No.12 06124108 Pae Of <br /> Submission#: <br /> IPPING INFORMATION `PHIPPING CONTAINER <br /> Federal ExpressUPS O Hand Delivery ❑ Ice Chest t'� None ❑ <br /> BC Lab Field Sm' ce L) Other❑(Specify) Box ❑ Other O(Specify) <br /> Refrigerant: Ice Blue Ice 0 None❑ Other 0 Comments: , <br /> Custody Seals Ice Coainers O None Comments: <br /> intact? bL* [Italyes <br /> All samples received? Yes jc'r'No O All samples containers intact? Yes No C) Description(s <br /> )match COC? Yea No-O----- <br /> COC Received Emissivity: Container._ Thermometer ID: 't Daterrlm.JUN 1 "5 2010 <br /> " YES ❑ NO <br /> Temperature:A t `C t C 4 L °C Analyst Init !rT <br /> SAMPLE CONTAINERS t 2 3 4 s e 7 a s to <br /> aT GENERAL MINERALI GENERAL PHYSICAL <br /> PT PE"RESERVED <br /> T RGA.NICCHF I METALS <br /> PT INORGAINI]CCHEMICALMETALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2oz.NITRATE f NITRJTE <br /> PT TOTAL ORGAN ARSON <br /> PT•rex <br /> PT CHEMICALOXYEN DE <br /> PIA P EN Llcs <br /> 401DI t'OA VIAL TRA VEL BLANK t <br /> 40,V)VQA VIAL 1 1 I I 1 r 1 <br /> OT FPA 413.3.41).:,418.1 <br /> PT ME <br /> RADIOLOGICAL <br /> IBAOERIOL04CIC44L <br /> 40 ml VOA VIA L.304 <br /> OT P 08!606!8080 <br /> T EPA 51S.1f8150 <br /> OT EPA 52S <br /> T EPA 525 TRA Y'EL BLANK <br /> 1 Dotal EPA 541 <br /> 100 I PA 5.11.1 <br /> T EPA 548 <br /> T EPA 54 <br /> T EPA 632 <br /> T EPA 80 0 <br /> T AMDER <br /> a OZ.JAR <br /> 32 L JAR <br /> SO Lf_ 1rE <br /> PCB VIAL <br /> PLASTIC BAG <br /> FE—MOUS 1 <br /> ENCORE <br /> Comments: <br /> Sample Numbering Completed By:— 0marrims: <br /> A 8 Actual 7 C=GOrracted (M:IDOCSIWPOOILAB OOCSIFDRNS%SAMREC2.VdPDi <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 /> Alt msults listed in this report are far the exclusive use of the submitting party BC Laboratories,lne,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.bclabs.corn Page 4 Of 36 <br />