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h • • Page.—, <br /> , <br /> Cham of Custody Record <br /> On-site Time Tem <br /> A Ar _U Name ARCO 4493 GWMonitornt <br /> Off-site, Time T—P 00 <br /> BP BU/GEAI CO Portfolio. Retail Sky Conditions l«� <br /> BP Laboratory Contract Numbet• Atlantic Richfield Co Meteorological Events <br /> }date �/9�e�/ _ Requested Due Date(mm/ddlyy) ind S eed I>-/45 Direction 62 <br /> Send To BPIGEM FaaLity No ARCO 4493 <br /> Consultant/Contractor URS <br /> Lab Name SEQUOIABP/GEM Factli Address 205 N CENTER ST,STOCKTON,CA Address 2870 Gateway Oaks Dr,Ste 300 <br /> Lab Address 1455 N McDowell Blvd Suite D Site ID No ARCO 4493 Sacramento, CA 95833 <br /> Petaluma,CA 94954 Site Latlon [nvoice <br /> marl EDD denise ee ursco coin <br /> altfomia Global ID#t T0607700462 onsultantrContractor Protect No <br /> Lab PNI An elee Cart BP/GEM PM Contact PAUL SUPPLE onsultant Tele/Fax 916-679-23871916-679-2900 <br /> eleiFax 707-792-18651707-792-0342 Address P 0 Box 6549 onsultant/Contractor PM VERN E <br /> R5port T e 8 C Level Level 1 Mora a, CA 94574 to Consultant/Contractor KBIIGE.M ircle one) <br /> BP13EM Account NoTele/Fax 925-299-88911925-299-8872 P/GEM Work Release No ]ntrtm-50441 <br /> Lab Bottle Order No Matrix Pt eservatives Requested Analysts <br /> w <br /> o � <br /> ,o <br /> 00 <br /> Item 10 Sample Description Time v 5 aboratory No o o O .h Sample Paint Lat/Lon g <br /> '? °D N 'O and <br /> R w F- F d ty Comments <br /> O <br /> O <br /> 0 to Q O e perp.. <br /> A <br /> 1 M? <br /> JAY0 <br /> 2 02 <br /> 3 ye- "e- <br /> 4 4f ki IMP <br /> Ile4 <br /> NOTW �. <br /> fn <br /> 7 O'72Lx <br /> r <br /> $ ' <br /> ), a D 4 �C <br /> 10 D ?L <br /> Sam lees Nanceehn vished B !Affiliation ate tine4eAtftdBy/AfHJ1.atlon ate Jme <br /> Sampler's Company ...- 06zr �,�6-p 0 1- <br /> Shipment Datef (4 073d L <br /> Shipment Method aWca C { <br /> Shipment Trackmg No ,-( Jag(? <br /> pecial Instructions Address Invoice to BPIGEM but send to URS for approval -If total lead value is X50 analyze for lead by STLC,'value is>5 analyze for lead by TCLP <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> Custody Seals In Place Yes Temperature Blank Yes No Cooler Temperature on Receipt FIC Trip Blank Yeses No <br /> Distnbuoon White Copy-Laboratory/Yellow Copy-BPIGEM I Pude Cop} -Consulmnt/Contmetor ar COC Rey 1 2!5102 <br />