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Z- <br /> ` tp Chain off' Custody cord Page�of <br /> Project Name 4,�9� On-site Time Tem <br /> IBP IBUGEM Co PortfolioAflant,c Richfield Co Off-site Time Tem <br /> BP Laborato,y Cont,act Nurnber Sk ,Conditions - <br /> date �� eieorolo ical Events <br /> Requested Due Date(lnm/dd/yy) <br /> Wind S eed <br /> Direction <br /> nd To BP/GEM Facile No <br /> b Name SEQUOIA Can sit P/GEM Facile Address 205 N CENTER ST, STOCKTON. CA Address nt/870on rGateway actor ROaksDr, Ste 300 <br /> b Address 1455 N McDowell Blvd Suite D Site ID No <br /> ARCO 4493 Sacramento, CA 95833 <br /> Petaluma, CA 94954 Site <br /> alifonua Global ID# T0607700462 e-mail EDD denise yee@ursc)rp com <br /> b PM An elee Can - <br /> ConsuItan t/Contractor Project No <br /> P/GEM PM Contact P'SUPPLE Consultant Tele/Fax 916-679-2387/-916-679-2900 <br /> le/Fax 707-792-1$651707-792-0342 ddress <br /> ort T e&QC Level Send EDP Re orfs P O Bax 6549 ConsultanUContractorPM VERN <br /> '/GEM Account No <br /> Mara a, CA 94570 nvoice to Consul tant/Contractor o P/GE ucle one) <br /> ele/Fax 925-299-8891/925-299-8872 <br /> b Bottle Order Na P/GEM Work Release No Intrim-50441 <br /> Matrix Preservatives <br /> Requested Analysis <br /> ;' w <br /> o m <br /> -m No75 <br /> cu COSamPle rrpionTime Laboratory No > <br /> d 0 w y O 4 ¢ Sample Point Lat/Long and <br /> 0 v w z �" U v Comments <br /> ��r x fes- x m Li Q o I> <br /> rq N a0 <br /> DO sq- <br /> 2 _ C/5- X <br /> 3 33-0 X 3 <br /> 4 }C <br /> 5 X <br /> 7 <br /> �� <br /> 8 X x x <br /> 9 - / a k <br /> 10 _ k x X x x <br /> m ler's Nall 11,11 321elfin wished B /AffillaGon h <br /> to ler's Com an <br /> Date line Ac t B A i ation ate line <br /> t ment Date <br /> ment Method G t 1(0) <br /> t meet Tracking No 1 l <br /> ectiati Instructions Address Invoice to RP/GEM but send to URS for aanroval Fd I 3 <br /> RUN 8260 ANALYTES rN ONE BATCH ANALYSIS a <br /> istody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt °FIC Trip Blank Yes No <br /> Morlholf ., Wh,t.!'^. 1 wi—t^n,!v.li.,.. ('nm�_AP!!'Ft,A !Pml !'n... <br />