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U <br /> ace Analytical <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2602322 Page 2 of 2 <br /> f <br /> PACE ANALYTICAL COOLER RECEIPT FORM Page_Of <br /> Submission End-)d Z <br /> SHIPPING INFORMATION SHIPPING CONTAINER FREE LIQUID <br /> Fed Ex ❑ 1 UPS 11 /GSO/GLS❑ Hand Delivery ❑ Ice ChestV None ❑ Box ❑ YESV NO ❑ <br /> Pace Lab Field Service I Other❑(Specify) Other El(Specify) / S <br /> Refrigerant: Ice Blue Ice U None❑ Other❑ C mments: lll"%%% <br /> Custody Seals'le eQ <br /> nta�i; None Comments: <br /> All samples received? Yes❑ No All samples containers intact? Ye No❑ Description(s)match COC?Yes o❑ <br /> OC Received Emissivity: v•i Container. WA Thermometer ID:3 6 DateMme2 (3t2 2(00 <br /> 19 YES ❑NO Temperature: (A). 1 (C) 2'2 °C Analyst[nit s, <br /> V SAMPLE NUMBERS <br /> SAMPLE CONTAINERS <br /> I 2 3 4 .5 6 7 8 9 10 <br /> T PE UNPRES I <br /> 4az18o2/16oz PE UNPRES <br /> 2oz Cr- <br /> i <br /> T INORGANIC CHEMICAL METALS <br /> INORGANIC CHEMICAL METALS 4oz/8-/16oz <br /> s <br /> PT CYANIDE <br /> PT NITROGEN FORMS <br /> PT TOTAL SULFIDE <br /> 20z NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHENOLICS I <br /> 40oil VOA V[AL TILAVEL BLANK <br /> 40.1 VOA V[AL Ali �J <br /> T EPA 1664B <br /> Fr ODOR <br /> RADIOLOGICAL I ' <br /> BACTERIOLOGICAL <br /> 40 nil VOA VIAL-684-•0l/ <br /> i <br /> T EPA 50 816 0 8 318 0 8]A <br /> QT EPA 5I5.118151.i <br /> T EPA 52U I <br /> T EPA 525.2 TRAVEL BLANK <br /> 40nd EPA 547 I <br /> 49.1 EPA 531.1 <br /> 8-EPA 548.1 j <br /> T EPA 549.2 <br /> T EPA 8615M I <br /> OT EPA 8270C I <br /> 8oz/16oz/32oz AMBER <br /> 8oz/16oz/32oz JARI <br /> SOILSLEEVE I <br /> PCB VIAL I <br /> PLASTIC BAG <br /> TEDLAR BAG I � <br /> FERROUS IRON I <br /> ENCORE <br /> SMARTKIT <br /> SUMMA CANISTER' <br /> Comments: QiVZ OItM e, Vag S TGP 1 2 t 3 <br /> Sample Numbering Completed By:_Q Date/Time: ^ 3 2 Rev23 o512otz2 <br /> A=Actual ! C=Corrected tsawroo°iw°me°no°ions nocs roanswzaecrer 201 <br /> r <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: 1001665592 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 4 of 20 <br />