Laserfiche WebLink
Laboratories 4�c.�Environmental Testing Laboratoce 1949 <br /> Chain of Custody and Cooler Receipt Form for 1914756 Page 2 of 2 <br /> BC LABORATORIES INC, COOLER RECEIPT FORM Pa a of <br /> Submisa ion#. <br /> SHIPPING INFORMATION SHI PING CONTAINER FREE LIQUID <br /> Fed Ex UPS❑ Q1ltrac❑ Hand Depvery La Ice Choat None ❑ Box Q YES ❑ NO ❑ <br /> BC La Reid Service Q Other❑(Specify) othe ❑RSpecifyl y}f , $ <br /> NE <br /> Mao <br /> Refrigerant: Ice Blue Ice I❑ None® Other O Comments: <br /> Custody SealsI Chest 0 Containers(3 Nave ora nts: <br /> 13 1JaI4ftLXnJ1AQ-LlJ <br /> Alt sa eeeel+ Y 6lo a AM sampgoo walainers 1ptaor Ho❑ 6ascaijAlunij msbah C ea t] He ❑ <br /> COC Received sivfty; Coroteht4r: Tltermomater PateffiWle 51 <br /> ES 13 NQTenn erature A °C I I C I ®C Atms Ira <br /> SAMPLE CONTAINERS SAM 1IUMB <br /> UM <br /> 1 2 9 6 Q 7 a 50 <br /> T PE Uaw <br /> 4ea.t9a11NQt P$ <br /> AN w <br /> INORGANIC CM3041CAL METALS <br /> tNCB .Ah7 p AL AL34s1iaaz1T6a¢ _. <br /> tat'CYAME <br /> PT WTA0rEK FORMS <br /> Tae.IMItATS iNITJtrM <br /> PT TOTAL <br /> Prcl CA1. ffiYc31K A <br /> Adlikk 40-0 <br /> OA VI <br /> 4amC'W VIAL L . <br /> T AT <br /> Pr <br /> RADIO t. <br /> B 1C1CAL{ T A3. <br /> *mIV0AVIA1,sb4 <br /> A aa4 <br /> 21 <br /> A 533.1J81 0 <br /> T EPA IW <br /> TASST ..s a1 . <br /> SPA SQA <br /> SPA 53 <br /> TPP <br /> T 82 <br /> 8 Ah4B <br /> t f t <br /> L 81.10ME <br /> IE <br /> PLASTIC RAG <br /> WDLAR BAG <br /> IFURRM IRON <br /> P.nC <br /> SHAM FIT <br /> SUMMA CA R <br /> L -=� <br /> Comments- <br /> Swraple Bing Car iplsted By elTlrn4: v 21 954MV2014 <br /> ® A=Actual I C Correelod to nwezia .act <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: 1000887896 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 4 of 38 <br />