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Laboratories Inc. <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custody and Cooler Receipt Form for 1505026 Page 2 of 2 <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 altemtion, separation, detachment or third party interpretation. <br />Report ID: 1000335374 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 50 <br />BC LABORATORIES INC. COOLER RECEIPT FORM Rev. No. 18 09/04/14 Page Of <br />Submission #: g- d <br />SHIPPING INFORMATION <br />Federal Express ❑ UPS ❑ Hand Delivery ❑ <br />BC Lab Field Service Other ❑ (Specify) <br />SHIPPING CONTAINER <br />Ice Chest k None ❑ Box ❑ <br />Other ❑ (Specify) <br />FREE LIQUID <br />YES ❑ NO ❑ <br />Refrigerant: Ice BEue Ice ❑ None ❑ <br />Other ❑ Comments: <br />Custody Seats <br />Ice Chest ❑ <br />Containers ❑ <br />None X Comments: <br />All samples received? YesX No ❑ All samples containers intact? Ye.X No ❑ Description(s) match COC? Yes❑ <br />COC Received Emissivity: <br />YES ❑ NO Temperature: I A ) <br />Container: - Thermometer ID: CLW <br />r °C / C ) i •� °C <br />� jNo <br />Date/Time'3'"� �S <br />Analyst Init <br />SAMPLE CONTAINERS <br />t 2 <br />SAMPLE NUMBERS <br />3 4 B B 7 <br />e 9 70 <br />GENERAL MINERAUG NERAL <br />PE UNPRESERVED <br />i <br />T INORGANIC CHEMICAL METALS <br />PT INORGANIC CFiEMICAL METALS <br />PT CYANIDE <br />PT NITROGEN FORMS <br />PT TOTAL SULFIDE <br />2w. NITRATE/NITRITE <br />PT TOTAL ORGANIC CARBON <br />PT TOX <br />P'P CHEMICAL OXYGEN DEMAND <br />PIA PHENOLICS <br />40ml VOA VIAL TRAVEL BLANK <br />Quit VOA VIAL <br />T EPA 413.1 413 418.1 <br />PT ODOR <br />RADIOLOGICAL <br />BACTERIOLOGICAL <br />40 rat VOA VIAE, 504 <br />T EPA 508/6088080 <br />T EPA S1S.118150 <br />T EPA 525 <br />T EPA 595 TRAVEL BLANK <br />40m] EPA 547 <br />40mI EPA 531.1 <br />Boa Amber EPA 548 <br />T EPA 549 <br />T EPA 632 <br />T EPA 8015M <br />T AMBER <br />8 0& JAR <br />32 OZ. JAR <br />SOIL SLEEVE <br />PCB VIAL <br />PLASTIC BAG <br />FERROUS IRON <br />ENCORE <br />SMART KIT <br />Summa Canister <br />7omments• <br />'ample Numbering Completed By: Date/Time: (S:IWPDoclWordPerfect%LAB DOCSIPORMSISAMRECI <br />► = Actual I C = Corrected <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 altemtion, separation, detachment or third party interpretation. <br />Report ID: 1000335374 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 50 <br />