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a oratorie hJ- <br /> -M <br /> Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> ® Chain of Custody and Cooler Receipt Form for 1301889 Page 3 of 3 <br /> C LABORATORIES tNC. p COOLER RECEIPT FORM Rev-tC--13 D511702 Page r} 01 <br /> ubmission 4: <br /> SHIPPING INFORMATION SHIPPING CONTAINER <br /> edeial Express ❑ UPS❑ Hand Delivery ❑ Ice Chest W None ❑ <br /> ,C Lab Field Service ¢� Other❑ [Specify) Bax ❑ Other ❑ISpeciiyl <br /> 3efrigerant_ Ice ( Blue Ice❑ None ❑ Other❑ Comments: <br /> :usiody Seals Ire Chest ❑ Containers i❑ None P]!�)Comments: <br /> IntArtI 1 ' <br /> ,11 samples received? Yes No❑ All samples containers intact? Yes No❑ DemcAptionls)match COC? y-,0 No ❑ <br /> C <br /> CDC Received Emissivity: o. 1 Container: Thermometer 1Et 91. Datel7ime 1 -I <br /> 110YES ❑ NOC Analyst lnit .St�Ly <br /> a+35 <br /> 7emperawre: (A I 'S� `C ! (C I 1 .% <br /> o <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS It <br /> 7 3 4 5 6 7 B 9 70 <br /> JT GENERAL MINERAL/GENERAL PHYSICAL <br /> 'T PE UNPRESERVE- <br /> T INORGANIC CHEMICAL MEEAIS <br /> 'T INORGANJC O E DCAL METALS <br /> 'T CYANFDE <br /> -T NITROGEN FORMS <br /> PT TOTAL S131-FIDE <br /> Lox.NITIIAT@ i NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT TOx <br /> ® PT OBEI41CAL OXYG FPI D11MAND <br /> PLA PHENOLICS <br /> 40rsil VOA VIAL TRAVEL BLAH( r <br /> 40-1 VOA VIAL <br /> T M-A 413.1,4132-418.1 <br /> PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 40-1 von VLA L-504 <br /> T EfA 588760818888 <br /> T FPA 515-3/8158 <br /> i <br /> T FPA 525 <br /> OT EPA 525 TRAVEL BLAME <br /> 100.0 EPA 547 <br /> 1 00m FPA 531.1 <br /> T FPA 549 <br /> T EPA 549 <br /> T LTA f32 <br /> OT EPA BO M1 <br /> T AMBER <br /> 8 OZ JAR <br /> 32 OLIAR <br /> SOIL SLEEV E <br /> PCD PIAL <br /> PLASICBAG <br /> FEJ2ROUS IRON <br /> ENCORE <br /> STtAAT IOT � <br /> ommems <br /> A Art al I C = Corrected „nn..r..ni nn nnrstrnnnnsesnanaeenlal <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 /> 4100 <br /> nterpretation4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bdabs.com Page 5 of 58 <br />