Laserfiche WebLink
1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />Laboratories, Inc. <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custody and Cooler Receipt Form for 1315136 Page 2 of 3 <br />BC LABORATORIES INC. COOLER RECEIPT FORM Rev. No. 15 07/01/13 Page ! Of <br />Submission #: i3- 643& 1 <br />SHIPPING INFORMATION <br />Federal Express ❑ UPS ❑ Hand Delivery <br />BC Lab Field Service Other ❑ (Specify) <br />SHIPPING CONTAINER <br />Ice Chest, None ❑ Box ❑ <br />Other ❑ (Specify) <br />FREE LIQUID <br />YES ❑ NO ❑ <br />Refrigerant: Ice Blue Ice ❑ None ❑ Other ❑ Comments: <br />Custody Seals •' t <br />111. <br />None je Comments: <br />All samples received? Yes No ❑ All samples containers intact? Yes No ❑ Descriptionis) match COC? Yes No ❑ <br />COC Received Emissivity: 0.97 Container.,nt Thermometer ID: 2A-) DateMme32D <br />DYES ❑ NO <br />Temperature: (A) 3.0 °C ! ( C ) Z•5 °C Analyst snit j <br />SAMPLE NUMBERS <br />SAMPLE CONTAINERS <br />1 2 3 4 _. ___6 6 1 7 8 1 9 1 70CYANMEPT-TOTAL <br />• INORGANIC to 1 r <br />ORGANIC CARBON40m] <br />VOA VIAL TRAVEL BLANKWMW40-1 <br />VOA VIALEPA <br />433.1,413.2,418.1�PT <br />ODORRADIOLOGICAL40 <br />m] VOA YIA1- 504 <br />. • 5081608/8080 <br />IQT EPA 51&118150 <br />QT EPA 546 <br />QT KPA 549 <br />QT EPA 632 <br />OT El>,A 8015M <br />QT A26BER <br />8 OZ. JAR <br />132 OZJAR <br />SOILSLEEYE <br />PCB VIAL <br />sumnin Canister <br />ommenls: <br />ample Numbering Comnleted Bv:� Dale/Time: <br />— C%:Ial ! _ rorrealcr Y� C �t °r I//+� 1'✓L� 1�:if•AyQUC51M�,,IPcrlt c:111�F ^p�`;iF rJnl.-0�15/1M4EC7�•1 <br />The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analvrica! report must be reproduced in its entirety. <br />All results listed in this repot, are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report aheratioq separatioq detachment or third party interpretation <br />4100 Atlas Court <br />Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bGabs.com Page 4 of 58 <br />