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C) PagoZ.,'—� <br /> Chain of Custody Record <br /> - Imp— <br /> bp n-site Trme <br /> Protect Name ARCO 4493 GW Monitoring <br /> ff-site Time Tem <br /> O BP BU/GEM CO Pot tfoho: Retail 3ky Conditions C <br /> BP Laboratory Contract Number: Atlantic Richfield Co. eteorolo ical Events <br /> Date _ Requested Due Date(mm/ddlyy) end Speed Direction <br /> Send To- PIGEM Facility No, ARCO 4493Consultant/Contractor URS <br /> Lab Name SEQUOIA P/GEM Facility Address 205 N CENTER ST,STOCKTON, CA Address 2870 Gateway Oaks Dr,Ste 300 <br /> j ab Address 1455 N McDowell Blvd Suite D Site ID No ARCO 4493 Sacramento, CA 95833 <br /> Petaluma,CA 94954 Site Lat/Lon mail EDD denise ee ursco com <br /> alsfomia Global ID# T0607700462 Consultant/Contractor Project No <br /> Lab PM An elee CanBP/GEM PM Contact PAUL SUPPLE Consultant TeleTax 916-679-2387/916-679-2900 <br /> eWFax 707-792-18651707-792-0342 Address P O Box 6549Consultant/Contractor PM VERN E <br /> Report T e&QC Level Level 1 Mora a,CA 94570 Invoice to Consultant/Contractor BP/GEM .rote one) <br /> BP/GEM Account No elelFax 925-299-88911925-299-8872 P/GEM Work Release No Intnm-50441 <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> o m <br /> 0 <br /> Item No, Sample DescriptionTime 2 7 4 aboratory No � � � O0 � Sample Point Lat/Long and <br /> 6 ua d Comments <br /> 018 a4 d ui <br /> 2u -12- rC <br /> 3 <br /> 4srY/ <br /> I< �C <br /> 6 <br /> 7 - 41 "`qu, D g R <br /> LN:�43[78 <br /> 9 <br /> 10 K OC <br /> am le?s Name elip utshed B /Affiliation Date Time ece d By/Affillahon ate Time <br /> Sampler's Compan �� <br /> Shipment Date rlet&J ,; r Oxei <br /> ht mens Method C- a <br /> Sht ment Trackxn No <br /> peeial Instructions Address Invoice to BP/GEM 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 No Temperature BIank Yes No Cooler Temperature on Receipt /C Trip Blank Yes No <br /> Distribution White Copy-Laboratory/Yellow Copy-BP/GEM /Pink Copy-Consultantcontractor BP COC Rev i 7/1M <br />