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m <br /> aceAna/ytica/ <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2604216 Page 2 of 2 <br /> 6A E ANALYTICAL" COOLER-RECEIPT FORM - Page Of.SC4I3mISS(017#' 1 _ -- <br /> SHtPPt(�C-INFO—lM_ATION 6HIPPING-CON'PA&IER �tZEF LIQUID <br /> L1 UF'S II''"-GSO GLS❑• Hand l3elivery ❑ Ic'e•'Che'st0 Ndrle Cl `Boz YES,O`NO'•�1 <br /> face Lab Field service Other M(Specify): Other-O(Specify) W. ` 5 <br /> . : <br /> Refeigeran't: ice❑ Blue Ice❑ None_P Other❑ Comments: <br /> Custody Seals 5,1M MAN❑ GontalnersOsir . Non—V Comrrients <br /> rye I // <br /> Intact?Yes L1kNo fntacf?Y,es<I7 N2.LI <br /> All samples redeived? Yes Nd 17 All samples canfainers intact?Yes No❑ Description(s)match COC?Yes No ❑ <br /> C()C'Ri:ceIved Emissivity: Container:Y-E^ Thermometer DafelTime�1�16 Ll Ic'• <br /> YES. 17 No-..' Temperature: (A) .. GUI 1 `C /. C l?^t <br /> . } °C Analyst Init M 1 <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINE$S _—�' —r-- ' <br /> 1 2 T e - r 7 I 8 Y 9 10 <br /> T PE UNPRES <br /> 14az180z116nz.PEUNPRES <br /> T•INORGANIC CREMICAli METAIS' <br /> I,VORGnNICCIIEIIICACDIETA646z!$oz/160z - <br /> PS CYAN DE <br /> PT NITROGEN FORMS <br /> P�'.TeTAL SULFIDE . . ... - .. ... <br /> P`PToT'A:L bRG.4Ni C CARBON <br /> PT CHEMICAL OXYGEN DEMAND <br /> AA PHENOLICS <br /> 40m1 VOA VIALTRAVEL SLANK ' <br /> 40m1 VOA VIAL .. <br /> T EPA3664B. <br /> RADIOLOGICAL - <br /> BACTER[UC.OGICAI,' ... _. .: .. . . . :.. .: .:. ., - .-. •.....:. .: .. ... <br /> 4D ml VOA VIAL+504 "' <br /> QT' <br /> EPA,5252. <br /> T EPA525.2 TRAVEL BLANK <br /> 40mI EPA 547 <br /> 40ml EPA 631.1 <br /> 80z;EPA 548.1 <br /> T EEA549.2 .. <br /> TEPA-8015M <br /> OT EPA•8270C ' <br /> 0ez/16oz/320z AMBER - <br /> 80a1160�x�/32oz JAR <br /> SOIL'SLE <br /> . <br /> E1T— <br /> .PCB.VIAL .. . <br /> PLASTIC BAG - <br /> TEDLAR BAG . <br /> FERROUS 1RON . . <br /> TKIT <br /> ENGORE .. .. - . . <br /> �VIAR . <br /> SUMMA CAA4STER L � ./Jt. � .. <br /> Comrlierits:••. _ <br /> Sample.Numbering Completed By: DatelTime: Ray 2305120122 <br /> 71= cftlal % C=Corrected lsmmp°°tw°rnr°nemitna uocs�ORmstsunrzEc,°zol <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: 1001665764 4100 Atlas Court Bakersfield, CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 4 of 19 <br />