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Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1812763 Page 3 of 5 <br /> i Ae4R�17 RIES! C OOLER'RLC1=JPT FORM <br /> Of <br /> SHtPPWi3 iNFORPAA-not! SH <br /> Fest Ex fl UPS Q Other❑fs Rand Dellwcryr icc GYe PP COJ1d1 4![hf�R RAE LIQUID�C LabPJeld$eruiee Q p Tfy bone ❑ gox q ES C3 <br /> 4th �(Slaecifl'� <br /> W { S <br /> Ref ant: Muc lee Mone t3 Other Q C u <br /> oitlri+e>kta: <br /> ustod�y Bells <br /> Won CamrrlcnfS: <br /> AN 3Empl't reimbred? Yes: Na 4 AL sbmPiPs rantarn=jm3cf? V <br /> Nod DesrrQ}troR(8]rnalCh COCA Y6 <br /> F{$f-BI'4rGf3 ErhissNg�lr: No 4Canrrtilier �}- <br /> EP D No rh9rtriom9tdr �' 4 <br /> GatafLlmo rff4 <br /> rr rJ,eu:er f n -❑ c <br /> ` Ahary;l rntt_ <br /> sAMPLe CUNTALMEE SArAPLF N4VAll 7e <br /> 2z Wim 2 9 s <br /> 9 y8 <br /> +fr�l1362(�SR p$�7�$$ <br /> a <br /> A797C� <br /> L}Br a x1a I(a¢ <br /> F7'CY ^— <br /> t,l'P]6n <br /> IaT AE. t� <br /> rz Nrr ! . <br /> T0tAz,jD]R CA GN <br /> 1`r <br /> a t VDA W LL p ter.a - <br /> dOtm L VT <br /> RFA 9 <br /> 1#robap <br /> MR }y <br /> DOL Glr'1T. <br /> Ap <br /> Wisp S71dL5 <br /> — <br /> �t' MT BLACK <br /> Tal t o add <br /> ntSpA 33]! �— <br /> [a TWA 149 <br /> rHP <br /> g PA jt12s�1tlf <br /> Y34 <br /> Ga13mo¢ <br /> It 6ox13MR <br /> IL <br /> 6 VYtc4 <br /> 19TW — <br /> N,P I[BAG <br /> 1R4US — <br /> irr)TI7 <br /> MA CAMMP. <br /> 1BJ1ts; <br /> e hJtmiberJr1g Cvmpreted 4: <br /> ' - EIe7rCfk+lg: <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: 1000738586 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 6 of 40 <br />