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Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1828623 Page 2 of 2 <br /> Bt;LARDRAYORILS INN COOLER FtECEIf T FORM - — Page of <br /> Submi$sbn W. - <br /> SHIPPING INFORMATION SHIPPING CONTAINFR FRZE L10LrlD <br /> Fed Ex Q UPS❑ Ontrac 0 }land Del[v{gy� Ice Ch� [lone Q lsok ❑ YES ❑ NO ❑ <br /> 6G Lab field 5erVife ❑ Othar❑(Speoifyl. Oth D Npucify} Vol $ <br /> Refrigerant- lc Mue Ice❑ Noare❑ Other❑ Comments: <br /> Cus#ady Seals c "sff MINN <br /> _ ..�:�' 4t1 COIIIYI]9nta: . <br /> X511�pn3pees rcce3vmd7 Yes No D All amnplyy tw t marc 1Maet7 Yes N6❑ peadfg5di8n[al mntcEr iMC? Ya +Wo ❑ <br /> OC Deceived FinlsSIVlty: �-CdlYteink Tf7.rmomeLrrlC= aarofTlmc f <br /> �-9 ❑ NO T aature: ,a -C r 4c 1 °c -Analyst rt �.'�I <br /> S,4h�l�3�e Huuo-�FRS <br /> snjF11E GONTAI NRR5 <br /> km <br /> 40¢f40x 01633 PEGFRY$ <br /> 2M Cr" <br /> f7WRGAMC CfMWFC,AL1MTALS <br /> muac(mmmtcm.mvnn$ia.m.1ld.. <br /> CfAt+'J778 <br /> HOZ TILT T81 NE1rA.t'r8 <br /> Pr TiYTAE. GANICC&RffJe# <br /> PI'CEMMECAF,PXYGENrijEhYerM <br /> 1 <br /> pVOAMALTRWIELBLANK <br /> 3'OA U4L <br /> RP Jd61 <br /> RAD301 CAL <br /> IEACTE' GGICAL _. -- <br /> 40.L' 'r Al-96s <br /> YgPA gip — <br /> RE' $J$,]J�Yyn <br /> RT A 125 <br /> 7V3rAP- <br /> PLAM <br /> S53rfkuRt RLANBC347.�17}1�Bd7R]#am aatn�gg33:a Aa VRAC <br /> VS IRON <br /> MfW <br /> bMART XL'1' - <br /> 8S]e•IIfi4Ct4i�&r8R - •��• <br /> iSHnRlrrR3' . <br /> i8[is0g DICTnherin4 CompMled Ey,- <br /> o fT�nle; <br /> P[r 21 6Eif1318p76 <br /> k= f+ctual 1 C <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: 1000794614 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 4 of 10 <br />