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;a 7n�e A n c 7 ly tic.ei <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2137516 Page 2 of 2 <br /> 13C LA130RATORLi <br /> CC7 1L, R RECEIPT PC�ftPd Page �_qf[L�� <br /> INFORMATION � SHIPPING CONTAINER � FREE LIQUID <br /> red Ex J Mand Deli�l ry C loo Che�t#� Plaine ❑ Box 0 l YES NO ci <br /> BC Fi3JCd Service Speciiy)y f7tYICY C(Sperdfy'}y. R <br /> aafrigerant, Ir-9 61ur Ice P None[I Diller 0 Comments; F <br /> Custody s"Is . fie� L J ttaJtrers None ` Comments; <br /> .(nWr t 'f�o.r'i aet.'�Y�"s G7•. <br /> Ail WnPle3 rocrivedf? Ycq-g. " No❑ All*a;vmp[gs cortai,tcra lnfaa? Y T`No❑ Description(s)arnurh 0007 Yes c w) <br /> x <br /> COC Received Erioi Nivity; CentalNer_ " '�herrnor icErr Ip <br /> �r' �-� l7ateJTlrne <br /> ` s No TnrnperaGJrez ( I `4 J' i;C 1 l_, a Aaaill st-halt <br /> SAMPLE NLJMIJI=AS <br /> SARSKE CONTAINERS gp � _ ,. <br /> dull:4a¢�ltax FE 71P�Fn.F_-4 - <br /> 1t{t`}Ri:AFtrr: til^+"i1.ZatE'£Ar:. atltnxt}dna <br /> ......-.... <br /> pT tk7'hi.SLfl}'EOF ..._ <br /> tax FVITJtATJ:.fF•JI't'Rar}: <br /> 11'yT'J'OTA P..<'h1Jr_{.'4RJICJty <br /> 11TCHF.741CA OXYGENDEM <br /> FL&1'13EA <br /> 40ai3V0A VIAE <br /> T R1�Q C6�dII _.. <br /> QT EPA SISAMISEA <br /> tt.tuJn3.nrrr 3 <br /> act}'org Yl:1tL-SRt <br /> q1'FFA - -_- <br /> _P 5111 TAKY2.L EILAN _ <br /> taxa hSAi - _ <br /> Sou.EPAI RA <br /> F.7,{. <br /> 3ax11tin1��h$46ER <br /> S 11:f�LEEV.R <br /> 11 AL <br /> t,P_h5T1clml; : <br /> ENCO t <br /> Cerinmont <br /> saymplo NaJnJTerrmg eamploted }: Dwt€iTilule; ' F RauYt aartai�a <br /> A=Arluel 1 C=Corrected <br /> pyry}tie+.Ah4�I�,awa.uR_49CL'ffl�Nv�utRrnna 3ci . <br /> The results in this report apply to the samples analyzed in accordance with the chain of eustodv 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 party.BC Laboratories,Inc.assumes no responsibility for report alteration,separation,detachment or third party interpretation. <br /> Report ID: 1001258323 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.belabs.com Page 4 of 11 <br />