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Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1840224 Page 4 of 4 <br /> F& D <br /> E91 COOLER RECEIPT FORM Page Of � <br /> [ <br /> SHIPPING INFORMATION SY{lpPllG CONTAINER . FREE LI11ia <br /> UPS❑ CqitrMq Q Hand Detlwery ❑ ram ChM Norm ❑ Bax fit YFS ❑ NO ❑vk* Other❑jSpeoifyl. Other ❑{SpeeifY)__. 3151 � <br /> F*i3rrkVresrRc@hred? <br /> Ic H1u! lae ❑ Floors in Moe D 00mments; <br /> r.+'Yes rdoD AI K FMW cDMaincrs Injfte7 T dJDr+scrtokmW match D OM Y¢s No dalv�d krya wiry_ �� G�elainer_ f eMOrMler ID;E) NO Ta araeurr: {A 1 f• (C f.2 °C 34na1yst�ir <br /> SAMPLEAUMBRRS <br /> EAMPLE WrdrAlNFmE <br /> � 1a he 1 a e e <br /> Tpr RFS <br /> C�SiIGi7�M6TAL5 <br /> rFan� Ci Ci rJRTAIS iaaf 90¢!idea <br /> I?T CY <br /> pTN1TR Bi7FLtW.2 <br /> PYTOTAr.s1 MDR <br /> ?asMTUTEi TIU" <br /> 70YALQhca CAMCN <br /> OXYGTNEMUND <br /> 1?tfLP SC$ <br /> dOmL VOA VI TReiYi7 <br /> VOA VIAJ. <br /> Erh 1d51 <br /> 33r OR <br /> aAom GICAL - . <br /> Tr=JW ROOM&' <br /> d0ml O VTAT,. 3M <br /> 30Pddr4h M - <br /> A St3tAlfL'7o- ' <br /> .QT 6PAM <br /> RM S75 T§L AYSL I Lnr4K <br /> 40mh YFA sts <br /> dbml gph 55r.I <br /> EMUS <br /> UA sas <br /> a <br /> THRh mLiTa <br /> RPU arm <br /> 60311 13 <br /> &a 1432 JAR <br /> SOIL EL <br /> PCM v Ia <br /> BAG <br /> TRMAR SAG <br /> ARRROUS119V <br /> SKCDkg. <br /> SMART IKiT <br /> �nmrnenta• .. <br /> Sample Numbering Comptr+lyd ey_ Dateffmner.• rkr si ar;rt rapte <br /> A =Actual f C Calrecled JSY�Po.rNranPerfaU4+a uu�rto3Ms scwmro-..3o7 <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 6 of 32 <br />