Laserfiche WebLink
Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1828622 Page 2 of 2 <br /> [&u�,brr�isEiun <br /> IORATIMES IWC, COOLER RECEIPT FORM Page _ Of <br /> A <br /> SHIPPING INFORMATION SAWP=CONTAINER FFREF;;LIO.I.IIDFed Ex O UPS O Gntrec❑ HAnd EDalivery� Ice cFtea� Hong O Box ❑ NO ❑BG Leb Field Servree ❑ Other❑1Spe6b-.__-.. 0th ❑(Speclfy} __ S <br /> Refrl Grant! ie Mae Ice 4 XDne Q Ocher❑ Carnrnen#s; <br /> ustodY eeSk Pl <br /> _ '° <br /> F i :. x } an Gomlrlen�s; <br /> All e9mpiMe rccelvedt Yes Nv p All semplem cont***iM3tt7 Yes N;Cl IMcafipfloml$I reatch GOCfi Y +Plo ❑ <br /> OC Received amissivfty: —122rcontalme L&ss Th&rnametcr IG Pfft er}ie0 NO "7 <br /> tem erasure; f A 'C ! C 'C 3tneltel 19S <br /> SAMPLE CMYAIr9ERti BArdPLE NUMBF�eS <br /> F4S fJh�a <br /> 4H fax Mm PE LLOW ; <br /> Iva CC' <br /> T3N023 MkUCALi11rtTALS <br /> lf~'OItGMPLt_CTiRRaICtL.I- #LS-0oa.lpvafl6oa <br /> PT CYANIM <br /> FT GGW. oaRA&4 <br /> aoz N7T7th7$f N1THth. <br /> 3'4TA7. R,6AWjC C&MON <br /> M r7lXmDUC&ND <br /> i'tA;sir�h7C}L[ <br /> 'Qhm1 <br /> rT4l <br /> V 0 4 V7 4L TFAV EL ELL I <br /> IY41AVUL <br /> A 1{64 R <br /> Rini 4 <br /> BAC-=1QL9GFCAL <br /> 40 MI L•53d <br /> P SOUMOMM <br /> li 315.lA174 <br /> UA SSS <br /> EPhaZWERA BUNK <br /> d4m3IRFA S47 <br /> 40mLU% ,1 <br /> Sax R Sf8 <br /> PA 519 <br /> 8rA ip3iM <br /> T FF,h 8370 <br /> Ro 1 A <br /> &xt1 i it <br /> SOIL <br /> hfie VTAL <br /> LAR BAG <br /> nous'lion <br /> E CD= <br /> 87kEhIRT KET <br /> SUMMA i'Aiv[SM <br /> 4+4mr1cnls' <br /> Sample MLFmbcring Completed By !}BV1Tvnr _ ryv 71 4i773f�0» <br /> A = Acluo I C — Pafnvs=ted icrx�ro�rr�.ak.r..rcm axr,�..,n�h� ..� <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: 1000797432 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 5 of 15 <br />