Laserfiche WebLink
L[IbOYRI`OrIGS Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1630360 Page 2 of 2 <br /> BC LABORATORIES INC. COOLER RECEIPT FORM page Of <br /> Submission#: <br /> SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br /> Fed Ex ❑ UPS❑ Ontrac❑ Hand Delivery ❑ Ica Chest None ❑ Box ❑ /Y NO ❑ <br /> BC Lab Field Service� Other❑(Specify) Other�(Specify} � � S <br /> Refrigerant: Ice❑ Blue Ice❑ None❑ Other❑ Comments: <br /> Custody Seals ;I��;Ch"es�❑' Canta�ners p None Comments: , <br /> All samples received? Yes No� Alt samples containers intact? Yes No❑ Description(s)match COC? Yes No p <br /> COC Received Emissivity: r Container: Thermometer ID: � Date/Time <br /> YE$ ❑ NO Tem erature: {A) y eC y )C ) ^C Analyst Init <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> 7 2 3 4 5 6 7 8 9 to <br /> T PE UNPRES <br /> 4oz/8oz/16oz PE UNPRES <br /> 2oz Cr•` <br /> T INORGANIC CHEMICAL METALS <br /> INORGANIC CFIEMICAL METALS 4oz/8oz/ fioz <br /> PT CYANIDE <br /> PT NITROGEN F0.2MS <br /> PT'TOTAL SULr1DE <br /> 2oz.NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PFIENOLICS <br /> 40mI VOA VIAL TRAVEL BLANK <br /> 40m1 VOA VIAL <br /> TEPA 1664 <br /> PT ODOR <br /> RADFOLOCICAL <br /> BACTERIOLOGICAL <br /> 40 ml YOA VIAL•504 <br /> TEPA 508!608/8080 <br /> TEPA 515.7/8150 <br /> TEPA 525 <br /> EPA 525 TRAVEL BLANK <br /> - 40m1 EPA 547 <br /> 40m1 EPA 53I.1 <br /> 8oz EPA 548 <br /> T EPA 549 <br /> EPA 8015M <br /> T EPA 8270 <br /> 8oz/16oz/32oz AMBER <br /> 8oz/lGoz/32oz.JAR <br /> SOIL SLEEVE j <br /> PCB VIAL <br /> PLASTIC BAG E <br /> TEDLAR BAG I <br /> FERROUS IRON }E� <br /> t <br /> ENCORE <br /> iMART KIT <br /> iUMMA CANISTER <br /> i <br /> smments: <br /> ample Numbering Completed By:_ _ Date/Time: � n�„n nerz3no�r, f <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 /> Atl results listed in this report are for the exclusive use of the submitting parry. BC Laboratories,Inc.assumes no responsibility for report alteration,separation,detachment or third party interpretation. <br /> Report ID: 1000543176 4100 AUas Court Bakersfield,CA 93308 (661)327911 FAX(661)327-1918 www.bclabs.com page 4 of 23 <br />