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Page 3 nfAk <br /> �z Chani of CustodyReword Vind <br /> ite Time Temp <br /> P <br /> Project Name 2002 Groundwater Sampling Event site Time Temp <br /> BP BU/GEM O Portfo o: Conditions <br /> BP Laboratory Contract Number: orolo Events <br /> Date: '? d� Requested Due Date (mm/dd/yy) Q , II s eed Direction <br /> Send To: �` <br /> BP/GEM Fadli No ARCO Station 2133 11 If Consultant/Contractor SECOR <br /> Lab Name SEQUOIAANALTT1CALBP/GEM Facili Address 2908 Ben aurin Holt Dr. dress 3017 Kilgore Rd., Ste, loo <br /> Lab Address 819 Striker Ave Site ID No --- 11 If Rancho Cordova, CA 95670 <br /> Sacramento, CA 95834 Site Lat/ 38/-1213 J 1I e-mail EDD charmsesecor.com <br /> California Global ID# T0607700002 11 lI Consultant/Contractor Pro ect No 77BP 52x33 00.0050 <br /> Lab PM Ron Bobel P/GEM PM Contact Paul Supple 31 If Consultant/Contractor Tele/Fam 916.861.0430 <br /> Tele/Fax; 916.921.9600 dress 11 t Consultant/Contractor PM. R. Be <br /> Report & 9C Level. 11 1C voice to Consultant/Contractor BP/GEM { <br /> BP/GEM Account No e f Fag. J� II P/GEM Work Release No <br /> rde <br /> Lab Bottle Order No Matrix Preservatives II JI R Analyses <br /> CD <br /> N 1 <br /> 00 <br /> Item <br /> Sample Description Time Laboratory b ' Sample Point Lat <br /> Na. a No P /� <br /> �° and Comments <br /> w o O 0 ao <br /> v°2 U ° <br /> zax6x o <br /> 1 MW-2 g 11 ----��-----------------------Il�FACT a <br /> 0044492/ -121 35 <br /> 2 MW-3 ..........--....---------.-----��--- �� -...--------------- -INACT 8 0041659/ <br /> -121 7 <br /> 3 MW-4 x I x 8 0040626/ -121 <br /> 4 MW-5 �j X �1X ,I 8 0043675/ -121 ,35042 <br /> s QCTB x �1x -- -- <br /> 6 !I <br /> s 1f <br /> �I f <br /> Sampler's Name By/A1BBatioi► ate MeMhmted By/ timeate e <br /> Sam let's Com <br /> Shipment Date U <br /> Shipment Method 11 [ <br /> S Ment T-a No �I <br /> Special Instractionr <br /> 11 if <br /> lCustody Seals In Place Yes No Temperature Blank Yes No_Cooler Temperatuie on Receipt—'Trip Blank Yes No <br /> Ihstnbuhon. Wbite Copy-Laboratory/Yellow Copy-BP/GEM I Pink Copy-Cmsultmt/Contractor iP COC Bev 1 V5M <br /> f <br />