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• � qq s <br /> 1'-Ige t of <br /> t kk"O Chain of Custody Record <br /> On-site Time Temp <br /> Protect Name ARCO 4493 GW MomtoriTi Ef-site Time Tem o f- <br /> ��� BP BU/GEM CO Portfolio. Retail SkyConditions clikJ <br /> BP Laboratory Contract Nuinbet Atlantic Richfield Co 14rtcorolo ical Events i <br /> Date � Lc�Z_ Requested Due Date(mm/dd/yy) Wtnd S eed i - s <br /> aw I?t[LCt1pn <br /> Send To BP/GEM Facil Na ARCO 4493 onsultant/Conrmcior URS <br /> Lab Name. SEOUOIA SP/GEM Facile Address 2Q5 N CENTER ST,STOCKTON,CA Address 2870 Gateway Oaks Dr Ste 300 <br /> Lab Address 1455 N McDowell Blvd Suite 13 Site 1D No ARCO 4493 Sacramento,CA 95833 <br /> Petaluma,CA 94954 Site L.at/LonQ -mail EDD derusayee@urscprp cam <br /> California Global ID m TO607700462 onsultant/Contraetor Project No <br /> Lab FM An etee CanBP/GElvf PM Contact PAUL SUPPLE Consultant Telc/Fax 916-679-23871916-579-2900 - <br /> cleFax 707-792-1865/707-792-0342 Address P O Box 6549 Consultant/ContmctorPM VERN E <br /> R ort T e& C Level level I Mora a,CA 94570 lnvoica to Consultent/Contracior 8P/GEM ircteonc) <br /> BP/GEM Account e1cfF 926-299-88911925-299 8872 BP/GEM Work RelcaseNo Intnm-50441 <br /> Lab Bottle Order Matrix Preservatives Requested Analysis <br /> N � <br /> Item No Sample Description Time -a a `� LaborAtory l�lo o n0 a U <br /> o Lt 6 U Q „ p < �1 Sample Point Lot/Long and <br /> E o t" < Comments <br /> o Q per " qy t G? a <br /> 1 � 1 to <br /> 3 J-� -ML <br /> 4Ik! <br /> w- <br /> 3V` x <br /> ig <br /> 7 r M I�i6fl <br /> p! xD( <br /> 8 al —� <br /> 10 x 3 5- `we a rz <br /> line lees Name i{wi C. ►►}}� <br /> f Retia uishedB !Affiliation onto rime Acta nt tcdtiv/Affiliation <br /> �QS7(7,QK <br /> am lees CoanY i weT� Date ime <br /> . In �'�� <br /> -� !sir C �q-c t <br /> t3)o <br /> Shipment Date �, � <br /> Sbr uarnt Method <br /> Shipment Traalsn No e2 <br /> - <br /> pecia)Instructions Address Invoice to BPICCM but send to URS for approval -if total lead value is>-50 ana zt for lead by STLC value is f�Z <br /> RUN 8260 ANALYTES IN ONB BATCH ANALYSIS 5 analvre for lend by TCLP <br /> ustody Seals in F1ace Yes No Tem cratura Blank Yes No Cooler Temperature on Receipt^ FIC <br /> Tap Blank Yes Ar No <br /> Dislnbultan White Copy-laboratar,I Yellow Copy-BP/GEM /Pail.Copy-COn5aita nt/Contr;,,Dr <br /> SP COC Rev 1 7/5102 <br />