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Inc. <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custody and Cooler Receipt Form for 1717169 Page 2 of 2 <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 parry interpretation. <br />Report ID: 1000620698 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />• • <br />Fed Ex■ ■.• • ■ , •c ■fee <br />BC Lab Field Service IN • ■ <br />• •UI <br />Chest N None ■ ■ ■ •. ■ <br />Other ■ <br />Refrigerant.- __ Ice ff _ Ice ■ None ■ Other ■ <br />Custody Seals <br />■ <br />C.: ft ■ <br />PeNone <br />N D <br />29 Comments: <br />i� <br />containers,.ct? Yeso NoO Description(s).. <br />Received <br />I <br />1 YES ■ NO <br />` <br />containerdCOC�... a <br />Ernitelvllt� <br />am <br />I _ aaaisaaaaaaaa <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 parry interpretation. <br />Report ID: 1000620698 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />