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m <br /> aceAna/ytica/ <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2601990 Page 3 of 4 <br /> PACE ANALYTICAL COOLER RECEIPT-FORM Page Of 2 <br /> Submission#: U _ <br /> SHIPPING INFORMATION � SHIPPOG CONTAINER FREE IQUID <br /> Fed EX ❑' UPS El ' GSO!GLS13 -Hand Delivery ❑ Ice Chest]�3 None I3 Box r:l Y NO lJ <br /> Face Lab Field Service Other❑(Specify)' Other b,(Speclfy) vc <br /> Refrigerant: Ice Blue Ice O None 0 Other❑ Comments:, � <br /> Cusfody Seals t; e t 'Ganfa is O None r� Coinments: <br /> �vv <br /> All samples received? Yes No L] ..AI[samples containers Intact? Yes No❑ : Description(s)match CSC?Yes No ❑ <br /> COC Received EloIissivity, )4'Container. N A Thermcmeter lD:36(- [AM-nalyst <br /> ateme ti 6 ,bb 1'o <br /> YES ©NO Temperature., (A). ? 3 'c t (c) �-' 'c lnUL <br /> SAMPLE NUMBERS I ' <br /> SAMPLECONTAMERS <br /> T PE UNPRES 1 <br /> 4uzl Hoa! 6aa PE UNPRES = � '� '• - _- <br /> bra.Cr" <br /> TINORGANICCHEMICALMETALS - _ III •,I _ <br /> INORGANICCHEMICALMLT'AL44—L8vz116oIz <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 20a.NITRATElNITRITE' — <br /> PTTOTAL ORGANIC CARBON I - <br /> PT CHEMICAL OXVGEN DEMAND - <br /> PtAPHENOLICS - <br /> 40m1 VOA VIAL TRAVEL BLANK LL <br /> 40m1 VOA 37AL —C A` A — f <br /> D-G- 0- t1-G - -G y Gi <br /> 1-f ODOR .I <br /> RADIOLOGICAL <br /> BAi^'fERIOLOCICAL ` I . <br /> 40mIVOAVIAL-SO4 T <br /> EPA SOV698.3180S1A <br /> QTEPASIS.1I8I51A I ' <br /> TEPA 525.2 <br /> Tr PA 525.2 TRAVEL RLANIf I - <br /> 40.1 EPA 547 <br /> 40m1EPA531d <br /> 80z EPA 548.1 <br /> T EPA 549.2 <br /> T EPA 8015M _ <br /> T EPA 8270C _ <br /> 8o7l I6oz/32aa AMBER <br /> 48azl16oal3UZJAR <br /> SOILSLEEVE <br /> PCB VIAL <br /> PLASTIC BAG. <br /> TEDLARBAG I ill <br /> 'FERROUS IRON <br /> ENCORE _ 1 <br /> SNIART Ii17' <br /> SUMMA CANISTER <br /> Comments: <br /> Sample Numbering Completed y _ Datefpme: Rev23aS2o122 <br /> A=Actual 1 C=Corrected Is:[wnn��[w do.d..« o�cssonxs su4r5cre.zg <br /> k <br /> it <br /> E <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: 1001665561 4100 Atlas Court Bakersfield, CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 6 of 75 <br />