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Page o <br /> " � , Chain of Custody Record On-site Time Tem <br /> "' w b p <br /> Project Name ARCO 4493 GW Monitorin_gr off-site Time Tem O <br /> [� Ar } <br /> tte <br /> BP BU/GENT C4 Pox tfoho. Retail S Conditions 64�BP Laboratory Contract Number. Atlantic Richfield Co eteorolo ical Events <br /> (6 ,7 6,1 Requested Due Date(mni/dd/yy) ind Speed P-/ Direction <br /> Send ToBP/GEM Facile No ARCO 4493 Consultant/Contractor URS <br /> Lab Name SEQUOIA BP/GEM Facility 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 Lat/Lon -mail EDD denfse ee ursco com <br /> California Global ID# T0607700462 Consul tant'Con tractor Project No <br /> Lab PAI An elee CartBP/GEM PM Contact PAUL SUPPLE Consultant Tele/Fax 916-679-23871916-679-2900 <br /> Tele/Fax 707-792-18651707-792-0342 Address P 0 Box 6549 Consultant/Contractor PM VERN E <br /> Report Type 8.QC Level Level l Mora a, CA 94570 Invoice to Cons-ultant/Contractor BP/GEM Fre€e one) <br /> BP'GEM Account NoTele/Fax 925-299-8891/925-299-8872 ____1P/GEM Work Release No Intrim-50441 <br /> Lab Bottle Order No Matrix Pi eservatiFes Requested Analysis <br /> cv <br /> c1 <br /> ci o o ANO <br /> Item No Sample Description Time 'R o !2 Laboratory No C ooCN <br /> p 4d Sample Point L at/C ong and <br /> Y) <br /> Q ,_�1 q c to ¢ v Comments <br /> o C Q O a i w � �o <br /> q O G 7- U per., N Q. � �.., F" 11- N N 4 <br /> 3 � ¢ z F � � Hca — � <br /> 1 - 3M oo <br /> 202- ,z <br /> 3 <br /> 5 0pe <br /> 7 G'7 4Mr x <br /> 8MQ-11 M <br /> C <br /> 9 MIJ, 10M -11 <br /> LL I x I 111 1"4- 1,,,e I I <br /> 10 ( D147t <br /> Sampler' Naine Relinquished B /Affiliation ate Time 4vfftd B !Affi tion Date Time <br /> Sampler's Company <br /> Shipment Date 0730 G <br /> Shipment Method { <br /> Shipment Tracking No z � 20 <br /> Special Instructions Address Invoice to BP/GEM but send to URS for approval -If total lead value is>50 analvze for lead by STLC,value is>5 analyze for lead by TCLP <br /> RUN 8260 ANALYTES rN ONE BATCH ANALYSIS <br /> Custody Seals In Place Yes Temperature Blank Yes No__ Cooler Temperature on Receipt F/C Trip Blank Yes +- No <br /> Disinbution White Copy-Labomtor}r`Yellow Copy-BPICi EM I Pink Copy-Consultant/Contractor BP COC trey 1 215102 <br /> I <br />