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® Laboratories Inc. <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custody and Cooler Receipt Foran for 1717166 Page 2 of 2 <br />{ <br />ul <br />_. <br />INFORMATIONSHIPPING <br />Fed Ex 0 UPS 0 Ontrac 13 Hand Delivery 0 <br />i BC Lob Field Service 19 Other 0 (Specify)_ <br />. <br />Ice Chest 11 None 0 Box 0 <br />Other 0 (Specify) <br />�'FREE LIQUI► <br />YES 0 NO <br />W S <br />tieTngerant. Ice 9 Blue Ice 0 None 0 <br />Other 0 Comments: <br />■ <br />�'. aNone <br />.+ <br />All samples received? Yes No 0 —AN sarnples containers Intact? Yes No 0 Description(s) match COC? Yes)6 No 0 <br />COC Received <br />CO YES ■ NO <br />Fl <br />Temperature: (A)e <br />� <br />_ <br />�► <br />•' -�`� a�a�aaais�saaa�j <br />f. <br />� <br />• <br />�: � : �i <br />�����i <br />ice' <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: 1000620626 4100 Atlas Court Bakersfield, CA 93308 (661) 327.4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />