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v <br />11 <br />Laboratories Inc. 10 <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custody and Cooler Receipt Form for 1505027 Page 2 of 2 <br />The results in this report apply to the samples analyzed in accordance with the chain ofcusiody 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 />Report ID: 1000334955 4100 Atlas Court Bakersfield, CA 93308 (661) 3274911 FAX (661) 327-1918 WWW.bclabs.com Page 4 of 32 <br />BC LABORATORIES INC. COOLER RECEIPT FORM Rev. No. is 09/04/14 Page Of <br />Submission #: I o t6c- f <br />SHIPPING INFORMATION <br />Federal Express ❑ UPS ❑ Hand Delivery ❑ <br />BC Lab Field Service Other ❑ (Specify) <br />SHIPPING CONTAINER FFREE LIQUID <br />Ice Chest k None ❑ Box ❑ ❑ NO ❑ <br />Other ❑ (Specify) <br />Refrigerant: Icek Blue Ice ❑ None ❑ Other ❑ Comments: <br />Custody Seals Ice Chest O <br />Containers ❑ <br />-intact? Ya 0 Na 171 <br />None )1 Comments: <br />All samples received? Yes XNo ❑ All samples containers intact? Yes No ❑ Description(s) match COC? Yes ❑ <br />COC Received <br />YES ❑ NO <br />Emissivity: Container: C Thermometer ID: <br />Temperature: ( A) °C / (C ) 1.5 °C <br />�, fNo <br />DateMme'3N lis— <br />Analyst Ink gj6 2vw <br />SAMPLE NUMBERS <br />SAMPLE CONTAINERS <br />t 2 3 4 5 8 7 8 9 10 <br />T GENERAL MINERAL GENERAL <br />PE UNPRESERVED <br />T INORGANIC CHEMICAL METALS <br />PT INORGANIC CHEMICAL METALS <br />PT CYANIDE <br />PT NITROGEN FORMS <br />PT TOTAL SULFIDE <br />2= NITRATE/ NITRITE <br />PT TOTAL ORGANIC CARBON <br />PT TOR <br />PT CHEMICAL OXYGEN DEMAND <br />PtA PHENOLICS <br />40m] VOA VIAL TRAVEL BLANK <br />40ml VOA VIAL G <br />OT EPA 413.1,413-2,41&1 <br />PT ODOR <br />RADIOLOGICAL <br />BACTERIOLOGICAL <br />40 mi VOA VIAL - 504 <br />T EPA 5081608/8080 <br />EPA 515.1/8150 <br />T EPA 525 <br />T EPA 525 TRAVEL BLANK <br />40ml EPA 549 <br />40ml EPA 531.1 <br />Boz Amber EPA 548 ' <br />Orr EPA 549 <br />T EPA 632 <br />OT EPA 8015M <br />T AMBER <br />8 OZ. JAR <br />32 OZ. JAR <br />SOH. SLEEVE <br />PCB VIAL <br />PLASTIC BAG <br />FERROUSIRON <br />ENCORE <br />SMART KIT <br />Summa Canister Li <br />Comments: <br />Sample Numbering Completed By: Date/Time: IS:1WPOoclWordPerfectlLAe DOCSIFORMSISAMRECI <br />A = Actual / C = Corrected <br />The results in this report apply to the samples analyzed in accordance with the chain ofcusiody 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 />Report ID: 1000334955 4100 Atlas Court Bakersfield, CA 93308 (661) 3274911 FAX (661) 327-1918 WWW.bclabs.com Page 4 of 32 <br />