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Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1812763 Page 4 of 5 <br /> t3C 1ABbHR7`aFilEs l� ���— <br /> Cc �aR'i'FORm— <br /> Suhmisaion #: PRbe Of <br /> �Htk�Pf�t�ihIFOI�lURA76!1� . <br /> Fed Ex fl UPS 0 Ohtrac❑ W-4d Derivury .*cff C s[Pp G PhCONTAINER 4l1V R I iI;E! fQUI <br /> 6C i Klerd Serwice D OthBr❑tspeo]fy}.— Nano ❑ fax d Yds 4 NO Q <br /> Q{SpeaiFy] W <br /> P meant: Daae Ice d N ne n Gd=El C <br /> orr'irrreatte: <br /> Orae#DdY.See�e ; }' <br /> Non Comments <br /> .4U s4mpl-reteFved7 Yes Na 4 fkllN* - <br /> aonferriors imRrk} Yts MD J3 <br /> qft+ptlan{a7 maerir Cog? Yr No b <br /> �C� � $ <br /> JYEIAiss[o��y: CoIFtAmer <br /> ILSII! O �hermornetcr D, 0. r . <br /> Te 61;rCrArm; (A Refrrm l <br /> '�. +4nahlat9nn <br /> SAMPLE COtaTADIMg SAASPi NUMSEWS <br /> ' # a <br /> s a � <br /> 4Cm1E0MlU6u PIIUL&RF4 <br /> e <br /> Sox G" <br /> C£�rt <br /> RGdzP14' ['A Affi9' -0oe Fua! Goa <br /> Fa' <br /> P r rg g <br /> PT <br /> s MT TE RYra <br /> it 4M � <br /> p]Cy0 Irier <br /> PA Z <br /> '63 Y44 L V MA <br /> r A3aFA <br /> P ODOR <br /> Lr0 Gi <br /> i3As&}t� p} <br /> sls,fiBlSG <br /> r Pdaas <br /> PAsaaiRA-VELRLd1 ( <br /> 13!4Eh <br /> T PiYd s,x� <br /> VRPAgpq <br /> BACJ <br /> v1�ROH , <br /> 7CRE — <br /> bdA�M1Ii4.3786L <br /> tentr� - <br /> - - LMIKIe: <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 7 of 40 <br />