Laserfiche WebLink
P,gc 2 of� <br /> T? � Chain of Custody Record On-ze Time -{ Temp <br /> w Project Name ARCO 4493 GW Mon1tort»g_ Off-site Time Tem V'F <br /> bp BP BU/UM CO Portfolio: Retail kv Conditions el sit <br /> BP Laboratory Contract Number Atlantte Richfield Co Meteorological Events ` k-{- cx v' .n <br /> Date. 11 23 63 Requested Due Date(mrwddtyy) Wmd s ced LO-' Direction <br /> Send To BP/GEM Facile No ARCO 4493 onsultant/Contractar URS <br /> Lab Name, SEQUO A BP/GEM Facility Address 205 N CENTER ST,STOCKTON,CA Address 2874 Gataway Oaks Dr.Ste 300 <br /> Lab Address 1455 N McDowell Blvd Suite D Stte ID No ARCO 4493 Sacramento CA 95833 <br /> Petaluma, CA 94954 Site LatlLvne c-mnil EDD dentso_yee@urscorp cam <br /> Cahfornfa Global ID 70607700462 Consultant/Contractor Project No <br /> Lab PM An elee Cats BP/GEM PM Contact. PAUL SUPPLE ConsultantTele/Fax 916-679-23871915-679-2900 <br /> doTox 747-792-18651707-792-0342 Address P 0 Box 6549 onsultazt/Cantractor PM VERN E <br /> Report T e&QC Level Level I Mora a,CA 94570 Invoice to Consultont/Contraetor BP/GE rrcic unq <br /> BP/GEM AccauntNa ele/Fax 925-299-88911925-299-8872 ISPIGEM Work Release No Intnm-50441 <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> kn <br /> WN M ri <br /> 'L] N O p oyn L W <br /> Item No Sample Description Time -2 � � Laboratory No o Fi -� <4 Sample Point LgE/Long and <br /> a ,� " s C] F. ca [ J Comments <br /> E o t7 O t m c 3}' ,• � <br /> 3 U n U c a� <br /> ind z � � w � m <br /> IM LHI w► 3 4 s (o Dt x <br /> a -112 t K x y �( K PC 2s <br /> 3 DC ..t3 '� Koff Flo . <br /> 4 <br /> 5 <br /> 6 <br /> 7 NOT l <br /> o <br /> 9 <br /> 10 <br /> SanleesNatne ?—.(12rk",sh Relinquished BIAffiliation Dnte ime Ac t 14 1Affiliation Date rmc <br /> Sam lei's Com an g l `.t4 YI v2�� aTf�c s l STC <br /> Shipment Date g, <br /> Shipment Metbod <br /> Ship ent Tmc-,kmg No <br /> pecial Instructions Address Invoice to BPIGEM but send to URS for ap royal -If total lead value Is X50 Ona yze far lead STt value is>5 analyze for lead by TCLP <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> u5cady Stair;In Piaci Yes No Temperature Blank Yes d No Cooler Temperature on Receipt n/C Tnp Blank Yes k No <br /> Distribution Whiie Copy-Laboratory/Yellow Copy BP/GEM /Pail.Copy-CansuHanvcontrictor BP CDC Rcv 1 21M2� <br />