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Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1812764 Page 3 of 3 <br /> EC LILppA+ol•['QFgE61h1C, � — _..�_ COO,[..r;R'Fi1rCMp-f FOP3IR <br /> - <br /> 8HlPP11V(�MWORMAT(ON SH P Q CQEV7AifJFR <br /> Fed ta C] UPS 11Ohtrao 0 Rand Delkrtly doe L`Jlcs F !IQUi� <br /> 6D La6 t�cld SBr lco El01hern(SPecr done ❑ pox (3 YES O ❑ <br /> Y Ofb El{Specfry . .' <br /> FitafrJger�nt: Fir og Ice L7 Norte Li other o <br /> 34LiMmel3fa: <br /> Ctts#ady,S7a7ala - *"' <br /> Ffon Ootnimepf:• <br /> Alfs�73pres r&c;amm p Yes .1111 <br /> 30 k 9amp1C9 Ehrrtpfrygrs 911ELt17 Yes 1!v 11G.Cri jpn�9 7r5z#en{SQ G? Y <br /> no 4 <br /> FIS I�1±C6JV�d L'mfsslwily: Cpntai�er Th9rm4metcr lFx; <br /> Ij No � � poltlTirFiB ` <br /> TE cgAyra' fA •C f c p '} <br /> aGr AneDmtlnh d <br /> 4AMPLE GUNTmlNEFlg SA6dMr;N9UAWRS <br /> # 3 6 g <br /> E <br /> L MWAM rarer �� <br /> P �• <br /> PT FORMS <br /> PT L5 EWE <br /> Er !AL r CAEeeo <br /> pr <br /> N 1VU t• �t4EC <br /> fdmi YLtL <br /> 4 r <br /> a lnI <br /> .gl`SPA 3a41App - <br /> P8 A31s. SO <br /> g� AS3s - <br /> �PA.S35ya,}�_ Y <br /> (OMI HPA 547 <br /> Nd AjPh ima <br /> Mz 1457 <br /> IrQpA 3i9 <br /> T&PA <br /> ur cgf�m�da�~ix <br /> IL Sim <br /> Yr <br /> g <br /> Vit¢I]s C& <br /> YMUR <br /> f <br /> RT MT <br /> 16A c1f ils7r R <br /> is <br /> 10-tvuntaitq CeWpNted t{y <br /> �a1rlTir�e- <br /> - lea�� esmrzma <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 parry. BC Laboratories,Inc.assumes no responsibility for report alteration,separation,detachment or third party interpretation. <br /> Report ID: 1000736955 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 5 of 24 <br />