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m <br /> aceAna/ytica/ <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2601897 Page 2 of 2 <br /> PACCAHAL.iT•ICAL COOLERRECMPT FORM Page Of ' ' f <br /> .Submission#:_Z Q J R 9� <br /> SHIPPING INFORMATION _. SHIPP}NG CONTAINER .. FREE, QUID. .. <br /> Fed Ex ❑ UPS El �( GSO/GLV Hand Delivery O Ice Chest id None O Box l7 YE NO ❑ <br /> Pace L�6 Field Service''l Other f]{Specify) Other❑;(S'pecify)• ' <br /> Reth'erant:- Ice Blue•IceI7-• NorseO' .-Other[i :-uCominen#s: _ <br /> .., z•••, z,.;�, ,.*fie:�!-: sn§ <br /> CLisfbdySeals Ice Chesf[ Cott aeners Ntine' Corlime, s:' <br /> `Mtn <br /> �nEactZlYes.l7k�1�, rn act?r Hot <br /> Allsamplesreeeived7,SYes57: No47r1„r�gEls_a"mplescoltainess,tntact?;Yes •�,t�op,.~ DescriAtio`n{s)matchCOCI Yes: o-.G 1 '•. .;, <br /> . n <br /> OC Received F�lssl�ty 0'g7 ConteQiner. Thermamretertn: 3 7 Datelrime �21� <br /> <.t <br /> ❑NO Temperature: {'A) 1 V "C 14 :(C)' ! °C Analys{loft+ <br /> SAMPLENUMBERS # ' <br /> SAMPLE CONTAINERS 1 1 Y.e . ..•2' 1 3- 1 4 5- -1 a 7 •,�8. <br /> T PEUh1'RES <br /> 4oa184�! boz PE UNPRES <br /> INCRGANIC CHEMICAL METALS <br /> INORGANIC CHEMICAL METALS 4oz/Sw I l6m I <br /> P.T CYANIDE <br /> PT NITROGEN FORMS ' <br /> PTTOTALSULFIDE - .. •• - <br /> i <br /> 2oa.NITRATE/NITRITE tt <br /> PT TOTAL ORGANIC CARBON 1 <br /> PT CHEMICALOXYGEN DEMAND - <br /> PtA PHENOLICS e I•- <br /> 40m1 VOA VIAL T4k4itFb4U.AA74 A M Vi Qr& P-L7 D- �l7 <br /> 40.d VOA VJAL `G I <br /> T FPA 1644E }}� <br /> RADIO OGICAL <br /> D.aCTERIq OCICAL - .. I . .. •�I <br /> 40 m1 VOA WIA1,•504 <br /> T EPA 5081608.318081A <br /> QTEPASISAISISIA. . <br /> T-EPA 5252 <br /> T EPA 525.2 TRAVEL BLANK 1 1 <br /> 40m1EPA 547 �- - - • I <br /> 40W EPA 531.1 <br /> enr,EPA.$48.I <br /> TEPA80ISM - I <br /> 'PEPA SI70C <br /> Bazf Iboz132az AMBER <br /> 8oz716ort32na JAR 1 <br /> soiLSl.EHUE • - - ' I - <br /> 1'CBVIAL �• � <br /> PLASI IC BAG I <br /> TEBLAR BAG. <br /> FERROUSTRON <br /> ENCORE <br /> ShIART KIT I <br /> SUAIMA CANIS'CER - y - "�� <br /> Sample Numbering Camplaled Fay: (1 L'2 D'eteri hwe 2. 23 ReJnic5120.°22 <br /> A=Actual f C=Corrected lsawroo�+tvaar:re_tOAa nocs rcaras,snemsc.av zl7 <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: 1001665559 4100 Atlas Court Bakersfield, CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 4 of 39 <br />