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&" 0 0 J <br /> Chain of Custody Record <br /> On-site Time Tern <br /> bp- Project Name ARCO 4493 GW Monitoring-F Off-site Time Tem <br /> BP BUIGEM CO Portfolio. Retail Sky Conditions <br /> C ten v <br /> BP Laboratory Contract Number, Atlantic Richfield Co. eteorolo ical Events <br /> Date Requested Due Date(mm/dd/yy) and Speed Direction <br /> Send To. P/GEM Facility No ARCO 4493 onsultant/Contractor URS <br /> Lab Name SEQUOIA P/GEM Facility Address 205 N CENTER ST, STOCKTON,CA Addrm 2870 Gateway Oaks Dr,Ste 300 <br /> Lab Address 1455 N McDowell Blvd Surte D Site ID No ARCO 4493 Sacramento, CA 95833 <br /> Petaluma, CA 94954 Site Lat/Lon mail EDD denise tee@urscocom <br /> ifornia Global ID# T0607700462 Consultant/Contractor Project No <br /> Lab PM An alae Can BP/GEM PM Contact PAUL SUPPLE Consultant Tele/Fax 916-679-2387 1916-679-2900 <br /> ele/Fax 707-792-1865/707-792-0342 Address P 0 Box 6549Consultant/Contractor PPM VERN E <br /> Peport 11pe&QC Level Level I <br /> Mora a, CA 94570 nvoice to ConsultaWdContraatorBP/GEM «c�cono) <br /> BP/GEM Account NoTele/Fax 925-299-$891/925-299-8872 JOP/GEM Work Release No Intnm-50441 <br /> ab Bottle Order No Matrix Preservatives Requested Analysis <br /> v1 <br /> Zi ca <br /> XLU o 00 <br /> Item No Sample Description Time c aboratory No °O � 4 ds Sample Point Lat/Long and <br /> ' CaM Comments <br /> C o p O Ifo ui <br /> Q Z x opo allo <br /> 1 <br /> 2wZ e <br /> 3 <br /> 4 ��.- s/ -y <br /> 5 ctr- dra <br /> 6 <br /> 8 �� <br /> x sic <br /> 9 <br /> 10 <br /> Sam let's Name Relinquished By/Aff3lladon DSte rimeI <br /> c to B / ffi on <br /> Date me <br /> Sam let s Company, Oi�.l A � <br /> Slu ment Date 6d1u <br /> lu trent Method C q <br /> hi pent Tracking No gga*iz <br /> Special Instructions Address Invoice to BP/CEM but send to VRS for approval -If total lead value is>50 analyze for lead by STLC,value is>5 analyze for lead by TCLP <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> ustody Seals In Place YesNo Temperature Blank Yes No Cooler Temperature on Receipt FIC Tnp Blank Yesr No <br /> Distribution White Copy-Laboratory/Yellow Copy-BPIGEM /Puik Copy-Consultant/Contractor $P COC Rev i 215MI <br />