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Laboratories IZ-Znc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1315839 Page 2 of 2 <br /> b LABORATORIES IAIG. COOLER RECEIPT FORM Rev.No.15 07/01113 Page 1 Of <br /> ularttission <br /> SH NG INFORMATION SHIP; G CON-TANNER FREE LIQUID <br /> decal Express Cl LIPS 0 Hand Delivery Ice I Nam CI Box Ell YES 0 NO C3 <br /> Lalli FI 9' Other 0( )_ Outer Cl IS yI <br /> zfr}gerant tce Blue Ix e® None 0 Other 0 Comments: <br /> stody Seals NOM d Cornmenu- <br /> saintipbstaceivew A8 sarrallon contailms ktrect? Yes - No 0, ion(sI awch COC? Y No Q <br /> COC Received :9 S cetat : ',Piles ter . 2-0-7 <br /> 'YES ❑NO ®slemm t <br /> T tum: t o I� ' r I C r - C bsr 1C 2-I2S <br /> sAmPu CWrApimsSAWKE N <br /> UMBM <br /> S 6 7 - 1e <br /> 8 <br /> + C �__ . .. <br /> YA14111 <br /> JTALSOLMM <br /> t <br /> i <br /> Ix <br /> yoA <br /> r0A.Y*I, <br /> i I 4 <br /> .A$A9.1 A drffiI <br /> R <br /> )LOMCAL <br /> r�A iiii€t <br /> I� 4 <br /> t� I <br /> t-13TMvXL"LAM <br /> - I <br /> PA Sal <br /> :FA S3U f <br /> so3slw � <br /> R <br /> tE d <br /> UAG <br /> is YB <br /> r <br /> r1rr j <br /> 7tf <br /> 9.ai�teP � 4 <br /> f <br /> 1urnt)etll¢t,Cao-plated e�: fl&te{t�Mgi+!: J ^J 4r It../ __.. <br /> .t r i I <br /> The results in this report apply to the samples analyzed in accordance with the chain of'cusiody 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 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.bclabs.com Page 4 of 12 <br />