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Page 2 of 3 <br /> Chain of Custody Record On-site Time Tema <br /> Project Name 3Q04 Groundwater Sampling Event Off-site Tnne. Temp <br /> bp BP BUIGEM CO Portfolio. Atlantic Richfield Company kyConditions- <br /> BP Laboratory Contract Numbei. _ eteomlo eal Bvents <br /> Date. 71 r) Requested Due Date(mmtdd/yy. 4/��yv; a�s Direction <br /> Send To: PICIBM FacilityNo ARCO Station 2I33 Consultant/Contmctor SECOU <br /> Lab Name SEQUOIA ANALYTICAL BPIGHM Facility Address. 2908 Benjamin Holt Dr. Address 3017 Kilgore Iid.,Ste.100 <br /> Lab Address 883 Jarvis Drive Site ID No Rancho Cordova,CA 95670 <br /> Morgan Hill,CA 95037 Sitc Lat/La 381-121.3 a-mai;EDD kflesomqsecor com <br /> California Global ID# T0607700002 tent/Contractor Project No 7MM133.XO327 <br /> Lab PM Lisa Race BP/GEM PM Contact Pan]Supple consultanwontractorTeleiFax 916.8610430 <br /> Tele/Fax 408 782.8156 Address P 0 Box 6249 Consultant/Contractor P Benkosky <br /> Re ortyp�&QC Level Mor a CA 94570 voice to tam/Con r or BP/GBM Circle one <br /> BP/GEM Account No Tele/Fax (925)299.8891 BP/OEM Work <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> _ ca <br /> � 7.4 <br /> Sample Point Lat/Long and <br /> El <br /> Item Sample Description Time Lab No g Comments <br /> No .� a' w a ¢ c3 <br /> o <br /> l E-10 (a 7.l X 3 X X X 38 00432111-121349915 <br /> 2 E-11 (?3'7 X 3 X X X 38 0044305/-121349863 <br /> 3 E-12 X 3 X X X 38 00439651-121349833 <br /> 4 PRA I Jul X 3 X X X 3B 00464221-121349872 <br /> 5 PR-2 X ____._ ____.___.___.___._-_ INACT 38 00444791-121 350204 <br /> 6 B HD-1 X 3 IX-11 IX X 1 1 38 0044238/-121349667 t <br /> 7 BHD-2 ------ ___.—_ <br /> --1NACT 38 00454681-121349803 e� <br /> s MW-1 1'LS�I X <br /> i 3 X X X 38 00475361-121349887 <br /> Relinquished By I ACTdtation Time Acce ted By/Af6 iatio ate e <br /> Sampler'sNaine „Y,,d,� Sr�ht {Vl v <br /> Sampler's ConVany ESE p1•3 <br /> Shr went Date P <br /> Shi rnent Method <br /> S}ugment Traclang No <br /> er3a1 Instructions <br /> bdy Seals In Place Yes No Temperature Blank Yes No Tnp Blank Yes No <br /> Distribution White Copy-Laboratory 1 Yellow Copy-BF/-G M /Pink Copy-Consultant/Contractor BP COC Rev.1 215102 <br /> 0 0 <br />