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Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1840224 Page 3 of 4 <br /> F <br /> q,gTORrOS f C. C€]OLER RECEIPT IT-OnM Pgesion 0- <br /> SHJPPING INFORIIMA7lOK S"IPPI G OONTA1NER . FRU UOUID <br /> Fed Ex ❑ UPS ❑ Ontrac❑ Hend Deliuery IJ Ite CIIGFt Mane Q Box Cl YES ❑ NO Q <br /> 8G Lab FlatO SetVi � OtFlcr❑(Speclfy�_ Other 0 i$pOciFyl � } <br /> Ftefli eras#' r Blip lG�{] None❑ Other 0 Coattments- 1l <br /> fv. <br /> CUs#Gdy SeE13s f- NoneContntenfs� <br /> AN Yes 110 Q P+n sarnGft eantalnem Inlac[7 Y Ro Dvs dptCpntO inawh COM Yet No ❑ <br /> Coe fil=o4�ive4l En1iS61wlly_ canlainer_ _ arrnameterlD: brlelFlllln <br /> I S O N ITem aralure: A) 1• -C C X •C �nalVm roir <br /> SAMPLE NUIMElxs <br /> SAMPL@';6_AINERS <br /> � 2 i ♦ 5 e 7 Ji 9 a0 <br /> TP8 UNP1S <br /> dca Ffc .r3dsq p$CRl RIZ3 <br /> 2pt <br /> T AhPIC Ll'�M1i[ <br /> 1 R L'1 IL`.4L AULTAI Raex ai <br /> rrcyAtm <br /> YrNrrxo FORM <br /> PIr %1.KL <br /> TO dL Of}Grhh7 . <br /> rr CALOxxssmnR <br /> PL4 PHR CS <br /> 4Om VOA VT 71RAVIE4LAUNk <br /> aOml VQ&V3AL <br /> T FS',1<1 Lha <br /> ODOR <br /> > ,MLOGICAL <br /> IIA RICLOGICAL <br /> 4 1 WAVLAIL5a4 <br /> TBPk �Of>p <br /> QT EPA MLLI A <br /> OT 6A 535 <br /> i`IRPA VA TRAVM MA.UX <br /> 4W ZPh 547 <br /> 40mI SPh S]i3 <br /> 9oa F,(t'd SGS . <br /> r�Rh sar <br /> aPA$}TW <br /> QT ITA 8214 <br /> ver r� ISEgg <br /> &m 1#0¢ 33-0¢ Aik <br /> $OIL dEG4LF <br /> pCEVEi1, <br /> FLAF= <br /> RPdG <br /> FF,AROLIS 1$4.w <br /> Ft4L7dll$ <br /> SMiLR71117' <br /> SwWA Ct}liSP1SR <br /> cbmmenta; . <br /> 3>irrq�k Numberms completed Dy. DatefT7ma: —R721 [Qm"Is <br /> A =ActUGI 1 ♦± = CWroCtad IgxamkoLeo}pa¢vmn�asiwwc�.�nl <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: 1000836756 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 5 of 32 <br />