Laserfiche WebLink
Laboratories Inc. <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custody and Cooler Receipt Form for 1722385 Paae 4 of 4 <br />n <br />The results in this report apply to the samples analv_ed in accordance with the chain ofcustodv document This analytical report must he reproduced in as entirely. <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: 1000641231 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 6 of 69 <br />7BCLABORATORIES INC. COOLER RECEIPT FORM Page Z Of Zbmission <br />#: 17' 22� <br />SHIPPING INFORMATION <br />Fed Ex ❑ UPS Ontrac ❑ Hand Delivery ❑ <br />BC Lab Field Serviceg. Other 13 (Specify) <br />SHIPNG CONTAINER <br />Ice Chest None ❑ Box ❑ <br />Other ❑ Specify) <br />FREE LIQUID <br />YES ❑ NO ❑ <br />/ S <br />Refrigerant: Ice Blue Ice ❑ None ❑ Other ❑ Comments: <br />Custody Seals <br />ire Ghe;t ❑ Container's. ❑ <br />dib�t?:Yjis-r-1 No <br />None Comments: <br />All samples received? Yesk No O All samples containers intact? Yeso- No'❑ Description(s) match COC? Yest, No ❑ <br />COC Received Emissivity: t Container:] Thermometer ID: Data/Time <br />YES ❑ N® Temperature: (A) ' c °C / (C ) °C Analyst Init <br />SAMPLE NUMBERS <br />SAMPLE CONTAINERS <br />1 1. 2 13 4 6 6 7 B 9 10 <br />T PE UNPRES <br />4oz / 8m / 16oz PE UNPRES <br />2oz Ct" <br />T INORGANIC CHEMICAL METALS <br />INORGANIC CHEMICAL METALS 4oz / 8oz / 16oz <br />PT CYANIDE <br />PT NITROGEN FORMS <br />PT TOTAL SULFIDE <br />2oz NITRATE / NITRITE <br />PT TOTAL ORGANIC CARBON <br />PT CHEMICAL OXYGEN DEMAND <br />PtA PHENOLICS <br />40tH VOA VIAL TRAVEL BLANK <br />40.1 VOA VIAL <br />T EPA 1664 <br />Pro OR <br />RADIOLO ��• <br />BACTERIOLOGICAL <br />40 ml VOA VIAL - 504 <br />T EPA 508/6088080 <br />T EPA 515.118150 <br />T EPA 525 <br />OT EPA 525 TRAVEL BLANK <br />40mi EPA 547 <br />40ml EPA 531.1 <br />Boz EPA 548 t <br />T EPA S49 <br />T EPA 8015M <br />T EPA 8270 <br />Boz / 16oz / 32oz AMBER <br />8oz/16oz/32oz JAR <br />SOIL SLEEVE <br />PCB VIAL <br />PLASTIC BAG <br />TEDLARBAG <br />FERROUSIRON <br />ENCORE <br />SMART KIT <br />SUMMA <br />CANISTER <br />)omments: <br />;ample Numbering Completed By: Datelrme: Rev xt 05/23/2016 <br />\ = Actual / C = Corrected 15:1WPe°°tw°:dPe:m"nwe tD=FOBMMkMftEa"v zol <br />n <br />The results in this report apply to the samples analv_ed in accordance with the chain ofcustodv document This analytical report must he reproduced in as entirely. <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: 1000641231 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 6 of 69 <br />