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C <br /> ace Analytical <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2601733 Page 4 of 4 <br /> PACEANALYTICAL COOLER RECEIPT FORM <br /> Submission#: 2 _U Page Of3 <br /> SHIPPING INFORMATION <br /> Fed_Ex ❑ UPS❑ /GSO/GLS❑ SHIP,P,ING CONTAINER FREE (QUID <br /> Pace-Lab Field Service, Hand Delivery ❑ Ice Chest{� None ❑ Box ❑Other❑(Specify) Other ❑(Specify) YE NO ❑ <br /> Refrigerant: Ice W N. <br /> S <br /> g Blue Ice❑ Nane d Other❑ Comments: <br /> Custody Seats lice Chest=p ` Captafiie s None Comments <br /> 'Intac TYes�p:+No 17 inYep""g NoII . <br /> All samples received? Yes t/ No❑ All samples containers intact? Yes 41 No❑ <br /> Description(s)match CDC? Ye �i�o ❑ <br /> 1�COC ReCelved Emissivity: O'97 CDntalner: r <br /> Yes ThermometerlD:3�7 DatelTlme2� <br /> NO Temperature: (A) 019 aC <br /> _ 1 (C )=22-0 'C Analyst In11 GL <br /> SAMPLE CONTAINERS SAMPLE NUMBERS <br /> T PE UNPRFS t t 2 3 4 t 5 8 [7 e B 70 <br /> 4Dzl8oz!1 o PE UNPRES ('�Z �--L <br /> t <br /> 2az Cr" <br /> T INORGANIC-CHEMICAL METALS - <br /> INORGANIC CHEMICAL bIETAIS 4Dz/8oz t ifiaz <br /> PT CYANIDF. <br /> PYT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 20z.NITRATE/NrrRITE _ <br /> PT TOTAL ORGANIC CARBON <br /> PT CHEMICAL OxYGF-- <br /> pEMAND <br /> PtA PHENOLICS <br /> 40.1 VOA VIAL TRAVEL BLANK ' <br /> 40.1 VOA VIAL A^- <br /> PT ODOR �M Q, <br /> 114DIOLOGICAL I <br /> BACTERIOLOGICAL _ <br /> 40 ml VOA VIAL-504 <br /> T EPA 50WO111.3/8081A <br /> QT EPA 5is,1/BISIA <br /> T EPA 525.2 <br /> T EPA 525.2 TRAVEL BLANK <br /> 40m1 EPA 547 <br /> 40m]EPA 531.1 <br /> 8oz EPA 548.1 <br /> T EPA 549.2 <br /> T EPA 801SM <br /> T EPA 827aC. <br /> 8a 116 zf32oz AMBER <br /> 80z l lboz/32oz]AR <br /> SOILSLEEVE <br /> PCB VL4L i <br /> PLASTIC BAG I <br /> TEDLAR BAG <br /> FERROUS[RON <br /> ENCORE <br /> SMART KIT <br /> SUMMA CANISTER <br /> Comments: <br /> batnple Nulnhering Completed By:_ DatelT3me: 2 K 'A=Actual ! C=Corrected a Rav2305120122 <br /> [S:IW?aeclWrniPModl�DODSffOR61515(U,[p, nv 201 <br /> � I <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 party. Pace Analytical assumes no responsibility for report alteration,separation,detachment or third party interpretation. <br /> Report ID: 1001665842 4100 Atlas Court Bakersfield, CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 7 of 109 <br />