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Laboratories Inc. <br />Environmental Testing Laboratory Since 1949 <br />cnaln OT custody ana cooler Kecelpt Form for 1411715 Page 2 of 2 <br />BC LABORATORIES INC. A %,vvLcrs ncL r-er v.a,.. <br />Submission*: ! 1 <br />SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br />Federal Express ❑ UPS ❑ Nand Delivery Ice Chest le None Q Box ❑ YES ❑ NO <br />BC Lab Field Service Other ❑ (Spettfy) Other ❑ (specify) <br />Refrigerant: Ic9'b Blue Ice ❑ None ❑ Other o Comments: <br />Custody Seals�r <br />E <br />o- <br />None Com"r4b: <br />All samples rsoalved? Yes)9 No O - A9 samples canners Intact? YAO Ne 0 Desedpeien(s) math COC? Yes No ❑ <br />COC Received <br />YES 0 NO <br />Ematsivity: Contai wr. Thermometer m: _ <br />Temperature: I A l � • L{ .c I I c) � • •C <br />Date/71me �� <br />analyst adz <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: 1000240936 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />