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C <br /> ace Analytical <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2602031 Page 6 of 6 <br /> PACE ANALYTICAL COOLER RECEIPT FORM Page Of <br /> Submission#: )ZU3 <br /> SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br /> 7F.dEl UPS❑ , GSO1GLS❑ Hand Delivery ❑ Ice ChestNone ❑ Box ❑ YES NO ❑Field Service Other❑(Specify) Other ❑(Specify) I S <br /> Refrigerant: Ice Blue Ice❑ None❑ Other❑ Comments: <br /> Custody Seals ce Cherrsty" -IntMainei No Comments: <br /> IntactTYssz7to ac .Yes' t7ntq / <br /> ��(( I <br /> Ali samples received? Yes`+j1 No❑ All samples containers Intact?Yes No 11 Description(s)match COC?Yes No O <br /> COC Received Emisslvlty: 0•q4 Contalner: tJ /C' ThermometerlD: VCola Daterrlme iy 4 1. 'oCd-.) <br /> YES ❑NO Temperature: (A) "C ] (C ) "C Analyst Init ILL <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> T PE UNPRES it ittt it <br /> 4oz/8oz116oz PEUNPRES <br /> 2oz Cr' <br /> T INORGANIC CHEMICAL METALS _ <br /> INORGANIC CHEMICAL METALS 4oz!8oz/16oz <br /> Pr CYANIDE <br /> PT NITROGEN FORAIS <br /> PT TOTAL SULFIDE <br /> 2nz NITRATE/NITRITE <br /> Pr TOTAL ORGANIC CARRON <br /> PT CHEMICAL OXYGEN DEMAND <br /> PLLPHENOLICS <br /> 40m]VOA VIAL TRAVEL BLANK <br /> 40ml.VOA VIAL -G —C —C, —C, —Ci -C —G <br /> n VOA VIAL Ajnh±vq -G- --Cr G -G O--G. D D-G- P-C'-. -C <br /> rT onoR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> 43 ml VOA VIAL-504 <br /> T EPA 508/608.318081A <br /> QT EPA SIS.1/8151A <br /> T EPA 525.2 <br /> T EPA 525.2 TRAVEL BLANK - <br /> 40m1EPA 547 <br /> 40.1 EPA 531.1 <br /> 8oz EPA 54&1 <br /> T EPA 549.2 <br /> T EPA SOISM <br /> T EPA 8270C <br /> 8oz/16az/32oz AMBER <br /> 8oz/16oz132oz JAR I __ <br /> SOIL SLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> TE➢LAR BAG <br /> FERROUS IRON <br /> ENCORE <br /> SMART <br /> SUNIMA CANISTER <br /> Comments: <br /> Sample Numbering Completed By: Daterrime: 7 Z R-23a5lzcrz- <br /> A=Actual 1 C=Corrected Isarwoectwo,�vQaa�ttas_eocs�ser:easur.IiRe�i.+lol <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 10 of 147 <br />