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—M Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> 0 Chain of Custody and Cooler Receipt Form for 1209284 Page 2 of 2 <br /> BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev.No.12 06/24/08 Page 1 Of <br /> Submission#: 1 `Z-Oolr2E) <br /> SHIPPING INFORMATION SHIPPING,CONTAINER <br /> LF!ederal Express ❑ UPS❑ Hand Delivery ❑ Ice ChestX None ❑ <br /> C Lab Field Service Other❑(Specify) Box ❑ Other ❑(Specify) <br /> Refrigerant: Ice Blue Ice❑ None❑ Other❑ Comments: <br /> Custody Seals Ice Chest O: ContatRers fl None'� Comments: <br /> Intact?-`ye3 *-NO Intaa?Yes.0:No, ` <br /> All samples received? Yes No❑ All samples containers intact? Ye�No 13f Descriptions)match COC? Y�No 11 <br /> COC Rec=ivedEvity: O Container: -Thermometer ID: FAn.lyst <br /> 2�'�YES ZI3t. <br /> rature:A - °C ./ C (1-a 'C t <br /> SAMPLE CONTAINERS 1 1 2 1 3 1 4 5 6 7 5 9 10 <br /> QT GENERAL MINERAL/GENERAL PHYSICAL <br /> PT PE UNPRESERVED <br /> T INORGANIC CHEMICAL METALS <br /> PT INORGANIC CHEMICAL METALS <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 2m_NITRATE/NITRITE <br /> PT TOTAL ORGAN)C CARBON <br /> PT TOX <br /> PT CHEMICAL.OXYGEN DEMAND <br /> PtA PHENOLICS $-2� <br /> 40.1 VOA VIAL TRAVEL BLANK Z <br /> 40m]VOA VIAL <br /> T EPA 413.1,413-1,41&1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40 mi VOA VIAL-504 <br /> T EPA 508/60818080 _ <br /> Y <br /> T EPA 515.78150 <br /> T EPA 525 <br /> T EPA 525 TRAVEL BLANK <br /> 100.1 EPA 547 <br /> 100.1 EPA 531.1 <br /> T EPA 548 <br /> T EPA 549 <br /> T EPA 632 <br /> T EPA 8015M <br /> OTAMBER <br /> s 07.JAR <br /> 32 OZ JAR <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> FERROUSIRON <br /> ENCORE <br /> Comments: <br /> Sample Numbering Completed By: DateTme: Z2614rd'3� <br /> A=Actual / C=Corrected [H_MoC51WP80LLAB_D0C51F0RMSISAMREC7-WPDI <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 parry.BC Laboratories,Inc.assumes no responsibility for report alteration,separation,detachment or third party interpretation. <br /> 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com page 4 of 45 <br />