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Laboratories Inc. <br />AlEkk Environmental Testing Laboratory Since 1949 <br />OF Chain of Custodv and Cooler Receipt Form for 1633226 Paae 2 of 2 <br />n <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 party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. <br />Report ID: 1000551238 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />BC LABORATORIES INC. <br />COOLER RECEIPT FORM <br />Page Of <br />Submission #: f <br />• <br />SHIPPING INFORMATION <br />Fed Ex ❑ UPS ❑ Ontrac O Hand Delivery ❑ <br />BC Lab Field Service Other ❑ (Specify) <br />SHIPPING CONTAINER <br />Ice Chesf8 None 0 Box ❑ <br />Other ❑(Specify) <br />FREE LIQUID <br />YE NO ❑ <br />S <br />Refrigerant: Ice Blue Ice O None 0 <br />Other 0 Comments: <br />Custody SealsISCatht,4n ;Cgritaitis(s;IJ'< <br />None Comments: <br />received? Yey� No ❑ All samples con finers intact? Ye No ❑ Description(s) match COC? Yesky No D <br />LLAIImples <br />COC Received <br />YES ❑ NO <br />Emissivity: <br />Temperature: (A) <br />Container: Thermometer ID: <br />In, °C / (C I t °C <br />Date'Time <br />Analyst Init <br />" <br />SAMPLE CONTAINERS <br />i 2 <br />SAMPLE NUMBERS <br />3 4 5 6 7 <br />8 9 70 <br />T PE UNPRES <br />40z / 8oz / 16oz PE UNPRES <br />202 Cr" <br />1!2T <br />INORGANIC CHEMICAL METALS <br />INORGANIC CHEMICAL METALS 4oz I Soz / 1602 <br />PT CYANIDE <br />PT NITROGEN FORMS <br />PT TOTAL SULFIDE <br />2oz. NITRATE/ NITRITE <br />PT TOTAL ORGANIC CARBON <br />PT CHEMICAL OXYGEN DEMAND <br />PIA PHENOLICS <br />40ml VOA VIAL TRAVEL BLANK <br />40.1 VOA VIAL <br />T EPA 1664 <br />IT ODOR <br />1ADIOLOGICAL <br />1ACTERIOLOGICAL <br />0 m1 VOA VIAL. SO4 <br />)T EPA 508/608/8080 <br />-T EPA SIS.1/8150 <br />T EPA 525 <br />T EPA 525 TRAVEL BLANK <br />Iml EPA 547 <br />�ml EPA 531.1 <br />z EPA 548 <br />P EPA 549 <br />P EPA 8015M <br />t <br />r EPA 8270 <br />z / 16oz / 32oz AMBER <br />/ 16oz / 32oz JAR <br />1L SLEEVE <br />_ <br />B VIAL <br />ASTIC BAG <br />) <br />I <br />_ <br />DLAR BAG <br />_ <br />2ROUS IRON <br />CORE <br />ART KIT <br />4MA CANISTER <br />i <br />mems: <br />[J A <br />1 <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 party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. <br />Report ID: 1000551238 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />