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C <br /> ace Analytical <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2602031 Page 4 of 6 <br /> E <br /> PACE ANALYTICAL COOLER RECEIPT FORM Page 2 Of <br /> Submission#: lb VZ U3 <br /> SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br /> Fed Ex ❑ UPS❑ . GSO/GLS❑ Hand Delivery ❑ Ice Chest/ None ❑ Box ❑ YES 11 NO ❑ <br /> Pace Lab Field Service Other El(Specify) Other El(Specify) $ <br /> Refrigerant: Ice Blue Ice O None❑ Other❑ Comments: I <br /> Custody Seals i7fdo c H a CQ-tal e s L3�z None Comments: <br /> ' ct?7.esc/�q.No of ta'c �NE <br /> All samples received? Yes 6� No u All samples containers intact?Yes No 13 Description(s)match COO? Yesd No 13 <br /> COC Received Emissivity: G. Container: 1J 7- ThormometerID: DatelTime & wo <br /> ES ❑ NO Temperature: {A) °C J f C ) 4 7 °C Analyst lnit i 3 <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> T PE UNPRES F I <br /> Aaz/8ort fioz PE IINPRES Z— <br /> 2oz Cr" I <br /> T INORGANIC CHEMICAL METALS I _ <br /> INORGANIC CHEMICAL METALS 4oz 18-116- I <br /> PT CYANIDE I _ <br /> PT NITROGEN FORMS I <br /> PT TOTAL SULFIDE I J •� <br /> ton NITRATE!NITRITE I <br /> PT TOTAL ORGANIC CARBON I <br /> PT CHEMICAL OXYGEN DEMAND <br /> P!A PHENOLICS <br /> 40.1 VOA VIAL TRAVEL BLANK I <br /> 40.1.VOA VIAL - 'li��++ —"C I <br /> VIAL -G 0-6 -G - I <br /> PT ODOR I <br /> RADIOLOGICAL <br /> BACCERIOCOCICAL I <br /> 40 ml VOA VIAL-504 <br /> T EPA 508/608J18081A I <br /> QT EPA 515.I/8151A I <br /> T EPA 525.2 I <br /> T EPA 525.2 TRAVEL BLANK I <br /> 40mIEPA547 I _ <br /> 40m1EPA531.1 I —� <br /> 8oz EPA 548.1 <br /> T EPA 549.2 <br /> T EPA 8015M I � <br /> T EPA 8270C I <br /> 8oz116oz/32oz AMBER I <br /> 5oz116az132oz JAR I __ <br /> SOIL SLEEVE I <br /> _ PCB VIAIsA— <br /> PLASTIC BAG <br /> TF.DLAR BAG <br /> FERRODSIRON I �j <br /> ENCORE <br /> SMART KIT _ it <br /> SUMSIA CANIST'£IL ___ I =��il <br /> Comments: <br /> Sample Numbering Completed By: P.L2 DatelTlme: 7.1 Rm r. 1.7 z. Reu 23 0512Li:2,. <br /> A=Actual 1 C=Corrected aocsuoweslSALIREC-291 <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: 1001665034 4100 Atlas Court Bakersfield, CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 8 of 147 <br />