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m <br /> aceAna/ytica/ <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2601495 Page 3 of 4 <br /> PACE ANALYTICAL COOLER RECEIPT FORM Page-j—Of <br /> Submission P <br /> SKIPPING CONTAINER FREIQO1D <br /> SNIPPING INFORMATION None ❑ Box ❑ YH-V NO ❑Fed Ez ❑ UPS❑ GSO/GLS❑ Hand nelivery ❑ Ic Other t bi❑•(•(Specify) �_ . <br /> Pace Lab Field Service Other❑(Specify) —_ <br /> Refrigerant: Ice Blue Ice❑ None❑ Other❑ Comments: - <br /> Custody Seals Ice Chest p =,,,,�tyle. <br /> rs❑ [TN..�eCo-lments: <br /> Intact?Yes❑ No❑ No O <br /> All.samples received? Yes No❑ All samples containers intact? Yes ] No❑ Description(s)match CL1C7 Yes No ❑ (J <br /> Emissivity: �'/� Container: _Thermometer ID: 21 Datefrime � 2j�5 <br /> COC Received r+ <br /> YES ❑NO Temperature: (A) °C I (C ) 2 d °C Analyst Init GL2 <br /> SAMPLE NUMBERS <br /> SAMPLE CONTAINERS 2 � <br /> � 4 5 _. <br /> OT PE UNPRFS <br /> 4oz/8oz/ 'o PEUNPRES — -- —_�� <br /> 7. <br /> 2nz Cr'd <br /> OT'INORGANIC CHEMI_CHEMICAL MP.TALS — -� <br /> INORGANIC CI IEf111C.AL M ETALS4oz/i!oz/1 k7 —` <br /> PT'CYANIDE _-- <br /> PT NITROGEN FORMS _ . . ••' <br /> PT TOTAL SULFIDE <br /> 2uz.NITRATE/NITRITE <br /> 1'T TOTAL ORGANIC CARRON <br /> PT CHEMICAL OXYGEN DEMAND <br /> PIA PHENOLICS_ -- <br /> 40m1 VOA VIAL TRAVEL BLANK <br /> 40:,,I VOA VIAL <br /> (TEPA I664B -- <br /> PT ODOR <br /> RADIOLOGICAL <br /> IIACTERIOLOGICAL _-11 <br /> 40 n,l VOA VIAL - �-. <br /> T EPA 51181603.3/8081A <br /> QT EI'A 515.1/SISIA - <br /> IiT EPA 525.2 ---- -- __J <br /> 01'EPA 525.2TRAVEI,BLANK _-- <br /> 40m1 EPA 547 G H K <br /> ,._e <br /> Sua F,.!'A ill <br /> 1 QT F,PA_49.2 _--. 1 --- <br /> T'F.PA 0015iH u - <br /> 1. <br /> Q'r ,PA 822nc -- --- -—' —J <br /> 4oz/lfioz I32oz AMBER. <br /> SOIL SLEEVE - — -- <br /> PCB VIAL - <br /> PLASTIC BAG ce <br /> 'PEDLAR RAG _ , 'G r_,`.._•` i: n __ _._ +�-� <br /> FERROUS IRON D(j Qi^ <br /> ENCORE. . <br /> SMART KI'f — —• —..---�—_..� <br /> L::L <br /> $UMMA CANISTER. •-- <br /> comment§: 23 5512C,U <br /> Sample Numbering Completed By DatelTinw <br /> A=Aetual I C=corrected Is:,wrooay.'°mv°rernue uoc:>.roamssamaecr, xol <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: 1001665557 4100 Atlas Court Bakersfield, CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 7 of 118 <br />