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r <br />s <br />Laboratories Inc. <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custodv and Cooler Receipt Form for 1320229 Paqe 2 of 2 <br />yaurlH t vntts ttut:- COOLER RECEIPT FORM ae,r- No. iS 07101173 Page I of A <br />mission9' '" G ZAI <br />SHIPPING INI'OFAI NATICIN SHIPPING CONTAINER FREE LIQUID <br />rAl Express 0 UPS CI Hand Delivery st None C3 Box 0 YES 0 NO Q <br />ah Field Service i Other 0 lspecify) Either 0 (Specify) <br />f <br />igerant: ice Blue (ce 0 None Ci Other 0 Comments - <br />tidy seals Ic�f16t� ' Cc9fi#triers��d 4 None Comments: <br />tidy <br />$,fvt��8cppe��iusd? y�la 4 Ci .�11 5�tt3plL�� GCCCk}}}Nt &t5 ittmeE? Ves �o Discs" a�.si �tatd`il C SC? 'Ygx kdp <br />rw <br />4. f�L rl�.cet'IP�U <br />Y Q <br />j�N® <br />Erni .. r: r.:iDt9t Thermometeri: S8i L.tw t.®+Tf <br />r} <br />T azure: I A) •C I t C I %•5 "C Ansigat We <br />SAWU MM6M <br />5At4PL6 CONTA 1-7-2 1 s s t 7 s a is <br />ra,rc <br />UNPREMVW <br />� caL AtE'rAl3 <br />nit-GAMC tCA4 Acs <br />iR Frames <br />1tTRA / NITRITE <br />7TA+.ORCA.NIC CARBBN <br />7X <br />& LL1�fV� u <br />VOA VIAL. TRAVEL BLANK <br />00A VIALt i C <br />tl L x <br />1 i <br />t 't f 0 <br />°AfthL9t3.. itB.1 <br />role <br />D,QGGICAL <br />eOA <br />'A 51$,119150 <br />'A SIS <br />A $3,5 .L B <br />EPA 347 <br />EPA 53LI <br />A s"&B <br />A <br />A 612 <br />IBER <br />Ara <br />JAR,,, <br />......... <br />lit. <br />... <br />._._........ <br />c SIA( <br />) <br />IRAN <br />1 i <br />1 <br />< mtn t y <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 patty. 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.bdabs.com Page 4 of 12 <br />