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Chain of Custod cord FO�-� On-site Tune Temp <br /> 1)p <br /> Project Name r D p � Off-site Time Temp <br /> BP BU/GEM CO Portfolio: Sky conditions <br /> BP Laboratory Contract Number: 01 Meteorological Events <br /> Date- `0 Requested Due Date(mm/dd/yy) ,�'� Wind Speed Direction <br /> Send To: BP/GEM Facility NoConsultant/Contractor <br /> Lab Name P/GEM Facility Address $ Z Address V a� EM <br /> Lab Address Site ID No �f <br /> Site Lat/Long e-mail EDD <br /> California Global ID# Consultant/Contractor Project No tl O 27 <br /> Lab PMBP/GEM PM ContactConsultant/Contractor Tele/Fax 51-319 <br /> Tele/Fax Address Consultant/ContractorPM <br /> Report Type&QC Level invoice to Consultant/Contractor or BP/GEM (Circle one) <br /> BP/GEM Account No TeleVFax P/GEM Work Release No (77 <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> �3 �p <br /> Item '5 a a u <br /> o Sample Point LatLong andSam le Description Time LaboratoNo. oNo <br /> ` p pq � 1�r Comments <br /> -D <br /> 2 <br /> 3 N Eli- j0 <br /> 4 <br /> s <br /> 6 <br /> 7 <br /> s <br /> 9 <br /> to <br /> Samplers Name o , ( HRe be Date ime ccepted By 1 A on Date noire <br /> Sampler's Company o4Y416 of <br /> Shipment Date <br /> Shipment Method ti <br /> Shipment Tracking No <br /> Special Instructions. <br /> Custody Seals In Place Yes No Temperature Blank Yes No__,fgL Cooler Temperature on Receipt 'FIC Trip Blank Yes No <br /> LABORATORY BP COC Rev 1 21514E <br /> R <br />