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m <br /> aceAna/ytica/ <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2601426 Page 4 of 4 <br /> PACE ANALYTICAL COOLER,RECEIPT FORM Page 7i Of. <br /> Submission <br /> SHIPPING INFORMATION. SNIPPING CONTAINER FREE i,1caU1D' <br /> / NO ❑; <br /> Fed Ex`❑ UPS❑- GSO/GLS❑: •Hand Delivery ❑ ice <br /> Chest.m None,O Box ❑ Y <br /> Pace Lab Field.Service , Other❑(Specify) Other7'(Specify) S <br /> ,. ther• <br /> o mm- entsn: <br /> rant:-- Ic Blue Ice❑ .None❑ ••ORefge e <br /> `Cuso'dy .None,6 Comm, <br /> , <br /> ts:. .. .. .-.` Intact?:tYesO'�NaO� -.IntacE?Yes'Q:N4��i` J <br /> All samples.received?.,Xesn ,No'p ,All,:samples::cbntaiiier.iintact?-Yes ya _No❑ Description(s)match COG?Yes N}o ❑ <br /> COC Received Emissivity:"V' ��' Container: Theitm1-terD: DatelTime I I1 Iti6 ti� U. <br /> dYE$ ❑NO % c I (c ) U oc Analyst.init <br /> Tempefatiue:.(:A).. ,9. <br /> SAMPLE NUMBERS <br /> •' •••• - "' '$AMPLE CONTAINERS " <br /> L _ 1 ..2 `3. 4 'S 6 7 8 e70 <br /> _ T PE UNPRES . ._. .. .._ .. ... .._. ._.. - .. _ ... <br /> 4oz/8oz <br /> 2oz Cr' <br /> T INORGANIC CHEMICAL METALS <br /> INORGANIC CHEMICAL METALS 4oz/8oz/16oz <br /> _ PT CYANIDE <br /> PT NITROGEN FORMS <br /> _ .PTTOTALSULFIDE <br /> 2oz.NITRATE/NITRITE <br /> PT TOTAL ORGANIC CARBON <br /> PT CHEMICAL OXYGEN DEMAND <br /> PtA PHRNOLICS <br /> _ 40m1 VOA VIAL TRAVEL BLANK <br /> 40nt1YOAVIAL <br /> _ TEPA 1664E ' <br /> 'PT ODOR <br /> RADIOLOGICAL <br /> BACTERIOLOGICAL <br /> -. 40m1 VOAVIAI, 4 11- (rr _G d� / v— / —G �- <br /> T EPA 508/608.318081A <br /> QT EPA 515.1/8151A <br /> TEPA 525.2 <br /> T EPA 525.2 TRAVEL BLANK <br /> 40.1 EPA 547 <br /> 40ml EPA531.I - <br /> .Soz EPA 548.1 <br /> T EPA 549.2 <br /> TEPASKI M <br /> T EPA 8270C <br /> 8oz/16oz/32oz AMBER <br /> Soz/16oz/32oz JAR. <br /> SOILSLEEVE <br /> PCB VIAL <br /> PLASTIC BAG <br /> _ TEDLAR BAG ' <br /> FERROUS IRON <br /> ENCORE <br /> SMART KIT <br /> SU@IMA 1ANI5TER <br /> Comments: <br /> _ Sample Numbering Completed By: /l�Pf DatelTime: Rev 230512012z.,. <br /> A=Actual I C Corrected r� [s:uvaoamwo:apoo�iu�nocstroeNstsumecn•,r1 <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: 1001653944 4100 Atlas Court Bakersfield, CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 7 of 98 <br />