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Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1828629 Page 6 of 7 <br /> BC LA'DORAtTOWE$INC, COOLER RECEIPT FOI�Iu1 Page Of <br /> Submission #: <br /> SHIPPING INFORMATION SHIPPING rDNTAINER FRED=uc�u€d <br /> rid F5x ❑ UP'S d Ontrac❑ Mand Defl"ry� Ice Chea Matte ❑ Rox �3 YES ❑ NU ❑ <br /> BC Lab Field Service Q �thar❑ [Sptdf)l 01b ❑15peelfl) <br /> ReIrigerantr tc Brue It e 0 Mono d 01her❑ CGrnmems; <br /> Ctas{od Seals "' <br /> Y Non Commee3t�; <br /> ar. <br /> AIE semFEp&raor3udd? Yas Na 4 All ssmplgs oonreimrrc rnlpel4 Ye6 Ha❑ Dcs:orlptlaosl rnaicll COC? Yes Na O <br /> DC. FtoOeived ?=mis*hr t, �rcmminc Thwwmgtor ID; DateMmc 'r <br /> ES 0 NO Tdrn or336ere: d *c I c •c nn t IpIt = <br /> SLiEu5P1t:oon3rA3rcsas <br /> sAKPLE h lAREM <br /> Ll3S <br /> Bazf 3.c'oa ISUNPRM <br /> lex � <br /> ANrF METAIS <br /> r[Y0� C Cl3P_'3YSIL`AL �,J S Aaa i boa J lfnm <br /> PT CVA <br /> P 1F0BrtaS <br /> PrT=AL <br /> 20 K1'PRn <br /> TOTALlb MCCAALON <br /> CHEMICkr, cHnrr3arAArm <br /> P3 LICE <br /> 40nd 17AL 7rgAv3rr, ( <br /> 411 nl S7AL. <br /> SPA 3 <br /> PT 0 DCM <br /> RaGIOY.aar <br /> B&CTE1=11 IG1! <br /> iQ m1VUA M $g1 <br /> T1 <br /> BPA 51 $Q <br /> TRF4tn TiUVaL LAM <br /> 44W HFA M? <br /> 'MMI ETA 533 <br /> Boz FFA <br /> gPA sqp <br /> I gum <br /> r A 11M <br /> 3132M Ah R <br /> J32ox Alk Al <br /> >4 SL,Y.L4'3r <br /> rc,�vrAL <br /> PEaS=ex <br /> MOLAR G <br /> rNCIDtE <br /> Sb1ART KIT <br /> SUMMA CANUMM, <br /> Temple Numbn:bg Conlpreted By' Oalr mx ekr s, psis rappe <br /> Aalua3 J C Couaoked <br /> Is:inslkxwu�aar�i.�,eR{rt rNUwmasr,xYPd..a� <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: 1000797437 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 9 of 58 <br />