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m <br /> aceAna/ytica/ <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2601987 Page 2 of 2 <br /> COOLER.RECEIPT•FORIVI Page ...... <br /> I' .PACE-ANALYriCAL '' r1 - — f "'r• ' <br /> Stibmisston �y�l-L�� SHIPPING COI4TAINER FREE iiQU1D, <br /> SHIPP.iNG INFOf�iui�,TiON, v E ru0 FY= ! <br /> Fed Ex ❑ UPS-0 GySO I GI_S'0 Nand DEiivery Ef ice Chest None ❑ Box C] f <br /> Other❑ S ecit Other (Specity} <br /> Pare Lab Field Service ( P -y} <br /> _.�.^.....--�..�..�..��-�— — �."_..�. - Y it 'fit—,q•^.�� L2Lt.: +a <br /> Slue Ice C3 ' None Other�:~�Commehts:]' <br /> Refrigerant. ce.l <br /> ra a :;N a< au c r CotntTeenis' <br /> G su; d Seal l`ce CiTest Q Gonia nets O+i�, None _ <br /> ;.9nkaet?-Yes.d`�No.fl. In ac 2cYe§I:o{WoaI7S7: / <br /> ?,,Yes <br /> Ail samPtes•received?.•Xesr a,�'„ "Aflsalnspie coritalners,intact7 Yeses Noel ,.:,DescripHon(s)match•Ct5C <br /> U <br /> ` Emissivlty:�-q Container: J A Thermometer ID:�6( <br /> COG Received Datefrime tig �� <br /> fZSYES d�NO st Temperature: (A?_ C'.! <br /> SAMPLE NUMBERS _ <br /> .10 e <br /> '_SAMpi-SCONTAINERS•=^'-^"'" •,� 2 .s 4 t r •, <br /> .. TPE UNPRES <br /> 4uz/$oz 1. o -PE UNPRES <br /> i6 Ce, l - <br /> T INORGANIC GI7FMICALMETALS <br /> INORGANIC CEEMICAL METALS 4o1 11-1116uz <br /> PTCYANIDE. - <br /> PT.NITROGEN FORMS_ <br /> 15TTOT XL, <br /> ULFIDE - <br /> 7. NITRATE/NITRITE <br /> PTTOTALORGANICCARBON - — <br /> PTCHEMICALOXYGENDEMANO <br /> PtA PHENOLICS <br /> 40ml VOA VIAL TRr1VF.L BLANK <br /> 40m1 VOA ViAI, - <br /> n,T EPA�5564ll <br /> PT ODOR <br /> RAI)IOLOGICAL <br /> E <br /> RACTFOLOGICAL <br /> AOm_1RI <br /> VOA VIAL-504- <br /> T EPA S0S1608.3180S1A - <br /> OPEPASi5,11315IA <br /> T EPA 525.2 <br /> T EFA 525.2 TRAVEL IILANK - ., -. - <br /> 40.I EPA 547 .. - E .... <br /> 40m1 EPA <br /> S.EPA 548.1 <br /> TEPA549.2 <br /> T EPA S015M — 1 <br /> • - l i <br /> T FPA 8270C <br /> Xozl lfioz 132az AMBER <br /> Sazl16oz132az SAR __ kI <br /> Y _5_OIL SLEEVE �,v,^_ i l <br /> - <br /> PLASTIC BAG <br /> TEDLAR'BAG _ ..— <br /> FERROUSIRON , <br /> F.NC6RE <br /> SUMM17.4 CANISTER _ <br /> Comments: 'Dateffimo• Revsa 052-20122,,. <br /> Sample NumberingCompleted EW _ -- <br /> jS:liVPpxn'1:rdPcrteeCd.A3 9�CS`d ORW3{3AWP.ECreV 2l] <br /> A=Actual I C=Ccrrected <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: 1001665019 4100 Atlas Court Bakersfield, CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 4 of 10 <br />