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n <br />Laboratories, Inc. <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custodv and Cooler Receipt Form for 1717191 Page 2 of 2 <br />, 6; • •. • • <br />SHIPPING INFORMATION <br />BC Lab Field Service It Other ■ <br />I <br />. LIQUID <br />Other ■ <br />r <br />'R�efant. fee 9 Blue Ice ■None■ • ■ <br />gor <br />Q <br />0 <br />iiAll samples received? Yes No 0 AD samples containers intact? Yes No E3 Devalption(s) match ao�as NO 0 <br />i <br />COC Received <br />-, YES ■ NO <br />• <br />&WWvity-. �Conbfner. � Ana Thermometer 11): 209, <br />1 I <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: 1000620813 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />