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c Laboratories Inc. <br />. Environmental Testing Laboratory Since 1949 <br />Chain of Custody and Cooler Receipt Form for 1717175 Page 2 of 2 <br />• <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 patty interpretation. <br />Report ID: 1000620746 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />SHIPPING INFORMATION <br />Fed EX 0 UPS 0 Ontrac, 0 Hand Delivery 0 <br />BC Lob Field SwWce IR Other ■ <br />SHIPPING CONTAINER FREE LIQUI <br />Ice Chest 10 None 0 Box 0 YES 0 NO <br />( Other C3 (Specify) <br />Refrigerant Ice ,, Blue fee ■ None ■ Other ■ <br />Custody Seals <br />�_ <br />• ■ <br />u <br />Allsomplasremalved? Yeep NI All samples containers intact? I <br />1Moo .e ■ <br />COC Received' <br />Ertdkslvlty: 6.15 Container. )MA Thermometerli): <br />�___ a©aaaaaa�s�■a <br />w1+, 1 • a ,y � r <br />LEW <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 patty interpretation. <br />Report ID: 1000620746 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />