BC Laboratories, Inc. Chain of Custody Form

1 laboratories , Inc. Sample #DescriptionDate SampledTime SampledAnalysis RequestedAttn:Street Address:City, State, Zip:Phone:Fax:Email Address:Project Description:Project Code:Sampler(s):Turnaround# of work days* SoilWastewaterGroundwaterDrinking WaterSludgeSample MatrixNotesOtherClient:Report To: Chain of Custody FormBC laboratories , Inc. - 4100 Atlas Ct. - Bakersfield, CA 93308 - - Fax: - ___ of ___1. Relinquished By2. Relinquished By3. Relinquished By3. Received By1. Received By2. Received ByDateDateDateDateDateDateTimeTimeTimeTi meTimeTimeCost Center:_____ Submission #:Are there any tests with holding times less than or equal to 48 hours?BCClient:Address:City:StateZipBill ing*Standard Turnaround = 10 work daysAttn:San JoaquinYesNoEDD Format OptionsMBU SiteCVX RCRAG eotracker 5 File (CA Default)Geotracker 2 FileOther (Specify)Comments:EMCG lobal ID:_____Check the appropriate sample Use this field to convey any special information such as sample hazards and/or non-standard turnaroundsMust be completed by the submitting partyPlease complete to assure proper invoicingEnter sample description.

2 Please verify that sample descriptions and dates match the like information on respective sample containersThe report will be sent to this address under this person's attentionEnter project informationEnter sample dates and timesCheck for standard turnaroundPlease refer to page 2 for Analysis the legend on Page 2 to reference analytical methodsCheck the appropriate EDD (s)MethodConstituent (s)8020A/8021 BTEX/MTBE by Range Extractable Range Purgeable , Nitrate, Sulfate, organic Carbon8015M-CCCarbon Chain Breakdown Extractable , Chlorine8080A-PestOrgano-Chlorine Pesticides7196 AHexavalent Chromiun8081-PestOrgano-Chlorine Conductivity8140/8141 Organo-Phosphorus Amenable to Chlorination615 Chlorinated Cyanide8150 BChlorinated Cyanide8151 AChlorinated Herbicides1010 Flashpint (PMCC)601 volatile Halogenated & Aromatics by ion selective electrode624 volatile Halogenated & Aromatics (foaming agents)

3 8240 BVolatile Halogenated & Aromatics as N or NH38260 BVolatile Halogenated & Aromatics as N or as NO3 or Nitrile plus Nitrate as Nitrogen625 Base Neutral/Acid Kjeldahl Nitrogen and /or organic Nitrogen8270 CBase Neutral/Acid Aromatic Hydrocarbons5210 BBiochemical Oxygen Demand (BOD)632 Carbamates (diuron) Oxygent Demand (COD) ,2, Oxygent Demand (COD)508 Organo-Chlorinated organic organic Chimicals by & Grease (Gravimetric) as P or & Grease (Infrared) Recoverable Petroleum Dissolved Solids1664 Extractable Material Dissolved SolidsTitle 22 CCR 66261 organic SolidsCAM 17 MetalsTotal Metals (STLC)as SolidsSTLC Metals48 hr RCRA Extractable SolidsTCLP Metals18 hr RCRA Extractable or Dissolved SulfideDissolved MetalsFiltered and Acidified or Dissolved MetalsSM 9223 BColiform Total plus (Colilert) MetalsTotal SM 9221 BTotal Coliform (MTF)6010 ICP MetalsFecal SM 9221 EFecal Coliform (MTF)3114B-As/SeGHAA MetalsSM 9215 BHeterotrophic Plate CountAnalysis LegendConstituent list or target analyte list (TAL) must be specified.

4 Please refer to the BC laboratories , Inc. Schedule of Fees for group testing suites and for a complete testing denoted in bold indicate that have short holding times. ( 48 hours)