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Page--2 of---3 <br /> Cham of Custody Record on-site Time Temp <br /> Project Name 2Q02 Groundwater Sampling Event off site Time Temp <br /> 0 BP BU/GEM CO Portfolio: ky ConditionsLLME <br /> rp BP Laboratory Contract Number: Leorolo DentsDate: fp d j Requested Due Date (mm/dd/ ) Zi 5 eed Direction <br /> Send To: BP/GEM F�adW No ARCO Station 2133 Consultant/Contractor- SECOR <br /> Lab Name S UOIAANALYTICAL BP/GEM ELc Address* 2908 Benjamin Holt Dr. I dress 3017 Kilgore Rd, Ste. 100 <br /> Lab Address 819 Striker Ave Site ID No --- <br /> Raacho Cordova, CA 98670 <br /> Sacramento, CA 95834 Site Lat/Lon 38/-1213 mail EDD charms®secor.com <br /> Califomia Global ID# T0607700002 Consultant/Contractor Project No 77W 52133 00 0050 <br /> Lab PM Ron BobelBP/GEM PM Contact. Paul Supple Consultant/Contractor Tele/Fag. 916.861.0430 <br /> Tele/Fm 916.921.9600 dress Consultant/Contractor PM. R. Benkos <br /> Report Type &gC Level. voice to Consultant/Contractor o P/GEM ( e <br /> BP/GEM Account No e 00cl I 1p3P/GFM Work Release No <br /> LabBotdeOrderNo Matt ix Preservatives Requested Analysis <br /> W ao <br /> tr7 <br /> Item Sample Description Time °` oratory No c Sample Point Lat/Long <br /> No. o and Comments <br /> o O O <br /> z x x <br /> ca oa o <br /> I E-10 X 15 1 Ix I I X I I 1 1 138 0047405/ -12135.002 <br /> 2 E-11 g Ix I X 1 1 138 0043279/ -121 ,35020 <br /> 3 E-12 1005X I Ix 0045517/ -1213503 <br /> 4 PR-1 X 0050521/ -121 3497 <br /> 5 PR-2 ...............................-------------------------------INACT <br /> 6 BHD-1X X 8 0050096/ -121 350 <br /> 7 BHD-2 --------------------------------__________-------------..----INACT 8 0048727/ -121 3490 <br /> 8 <br /> MW-1 --............................................................INACT 8 0045836/ -121350331 <br /> Sampler's Name V quashed By/Affiliation Date a Accepted By/AflUlation ate e <br /> Kiment <br /> 's Cam I <br /> Shipment Date <br /> t Method <br /> Tra No -:JI a <br /> nstructions <br /> Seals In Place Yes No Tem erature Blank Yes No Cooler Temperature on R eeeipt Trip Blank Yes No <br /> Dista Wbite Copy-Laboratory/Yellow Copy-BPIGEM /Pink Copy-Cota,,0t-ral1or iP Coe Bev.1 VAW <br />