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Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1828629 Page 7 of 7 <br /> 8e LABQRAT4F4R6 INC, COOLER AIECLIPT FORM <br /> SUbIYliSai4n�: <br /> SHIPPING INFORMATION SHIPPING CONTAINER t Ri;E LBOIlId <br /> Fed Ex ❑ 'LIE'S .: Untrac a Hand Delivery Ice Cher Ione ❑ Box ❑ YFS ❑ NO fl <br /> K Lab Field Servio� I I Ukhcr❑fSpeclfyL #Ih D fSpeeG[yM� 1 $ <br /> 1CR-2`t1:01 <br /> CTarlt: i Slue lee n Mane fl Other❑ Comments:dy SoaIs 'fce hast 7 Ce]ntairiele C7. . Non Comments: <br /> Jr11ta�]fxs. <br /> All SaMl5les rereived? Yen N.❑ Alf earnprec eantalmarc Inraar? Yag No D l)HWrlprl(nkI:Q m&tsh COC7 Yes Iprp ❑ <br /> I�$C$IVCd ErnicslwlsY; �—Corlelne ' Thvrntometer fD: Wt9lirne +3. <br /> ONO Tern 9rAlure: A 'C I I C l sC AeeWet 101, <br /> SArarLE NUn19ERS <br /> SATAPLE;'ONTAINEM <br /> FF. <br /> �o¢18oFiidox PRIJ*YRFS <br /> T 7 fiNEi MICAL METAL5 <br /> I�ZQ]t�A CHIIMIChE M�I'ALS�o¢lLVr11 r. <br /> PT-EvtiY <br /> PT Mrra FUA]�tS <br /> PTiOtA4. D$ <br /> ti77'knlnr Tlkl78 <br /> PT TOTALOmCSAh+r CApxom <br /> CCM&CAL OX-eVl3MAUD <br /> Prh EVAMCS <br /> 40m1 MA VIAL TluymL WS Ar4Bf <br /> WMI vab VIAL <br /> 1LPh 1 <br /> PI'Ue[]R <br /> RAD 1 <br /> PACTELM3. rCAL <br /> QMI vOn VIAL-504 <br /> Qq <br /> '$L~k soavcng.RU.ro <br /> QT <br /> 23JA 536,J.M1 <br /> qr ere <br /> T HPA V5 TRAVEL m.A.mh <br /> 4(;" h M7 <br /> mr XrA SSKI <br /> 8va PFA 54S <br /> 6Fh Sd4 <br /> Si'A SOi�t <br /> 931} <br /> $o if¢r_A <br /> SOYL FiLL:.V <br /> W-8 <br /> PLAffIIC.'EA <br /> 11MEARIIAG <br /> gfis�ra IRO7f <br /> RKORE <br /> &x AFr RJT <br /> SUMTAA CANMER <br /> �i0111rnCrRS' <br /> Sampre Hurhherin9 Compreled 6y. da7tfTlnlq; r 21 46rR&P076 <br /> A = Acluoi i C ,. Gorraetad +p.cou+r+.aw+«rr.+eyocsww+�65wx++rcM2p <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 10 of 58 <br />