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I I 1 I t 1 f f ( i I I 1 1 I 1 <br /> �� Chain of Custody Record .alto Time. I:04 Temp: <br /> Project Name ff--siie 7tme: Temp: <br /> o BP BIJ/(.F.M CO Portfolio: Sky Conditions: <br /> _ BP Laboratory Contract Nuather: d 7� Metmiclogical Events: <br /> Date: �"�i7^aZ Requested Due Date(mm/ddlyy) O slO-p 2, ltfind S <br /> Aced; Direction: <br /> Send To: ;J;w bola K s O "Wei]IM facility No.: ConsvllalnlConlractor: <br /> Lab Name: see p" PIGEMFaei3ilyAddress:Spf W. &a77/d4s.., / Address:,)Jjv Ear d.'6PLp. <br /> tab Address: /p r• .- &L S-1 d Site ID No. Gwas 4itsn PK cc. Y,SC 8 <br /> Cw Rtr$ SiteLaYLong: mailUDD: KK,. <br /> lifornia Global M 4: ConsulltintContFactorproject NaA 93 y <br /> Lab PM: JF&-% atir V 1'lGM1 I'M Contact: %t / .S /a ensW[ant/Contmctor'releg:ox: b 6 1-G'm 4S <br /> TelvFax: e& Address: 'o asullanl/Comlaclorl'Isi: Ja Ua4A- a <br /> Repoyl']ype&QC Level: Invoice to: ConsultantlContractor or RPIGRM (Circle -) <br /> 13111GUM Account No.: ele/Fam P/OEM Work lielmse No: <br /> Lab Roll]eOrder No: Jielrlx Preservatives RequcrtcdAnatyais <br /> Item Sample Description Time ;d G Lannralnry No. v a ,$ o .t So mplo l'olnt Let/Long and <br /> No. w °' s•t P, , Comments <br /> ei <br /> 2 Sf 1-5 5 JZY K r X X s Jetra.cµ <br /> I L~1-S Iszq ^D f X x <br /> -S•3 J320 I K <br /> s L- 3 -S,a 1.315 <br /> 6 <br /> 7 <br /> 8 <br /> 4 <br /> iL <br /> 10 <br /> Sampl ±L1 <br /> es Name: Urkrit., r�ro 1 I Re 'he Byf ATfilis ate rime "opted By I non Dole in e <br /> Sam lees Company: 0. r3 K3`G $ SO <br /> Shipment Date: 2 <br /> Shi went Method: h&&gff, <br /> Shipmcut Tracking N\ro: <br /> Special Inst ruel loos: <br /> C`lstody Scats In Place Yes__No Temperature Blank Yes No Cooler Temperature at Reecipt � QFIC Trip 131flnk Yes' No <br /> Ld[1OFiA70kY 11PCOCRevA WIN <br />