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&ge_L or Z_ <br /> Chain of Custody Word On-site Time Temp <br /> <:Ib Project Name 16 e L 67Off-site Time Temp <br /> BP BU/GEM CO ortfolio: Sky Conditions <br /> BP Laboratory Contract Number: eteorological Events <br /> Date: '2-2 Requested Due Date(mm/dd/yy) Wind Speed Direction <br /> Send To- BP/GEM Facility No .2) Consultant/Contractor <br /> Lab Name ��.. <br /> P/GEM Facility Address I Al. a, Y,R G Address 3 v� ey4, k- F_ <br /> Lab Address 01Site ID No Ci <br /> v <br /> Site Lat/Long e-mail IDD <br /> California Global ID# Consultant/Contractor Project No (f :,1 610 <br /> Lab PM P/GEM PM Contact Consultant/Contractor Te! [l� 7 <br /> Tele/Fax Address Consultant/Contractor PM .�AOv <br /> Report Type&QC Level voice to Consultant/Contractor or BP/GEM (Circle one) <br /> BP/GEM Account NoTele/Fax P/GEM Work Release No 0 "7, <br /> 73 <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> g N pq Sample Point Let/Long and <br /> Item <br /> SimpleDescription Time '5 " Laboratory No. oao $ N }� Comment: <br /> No. 00 00 <br /> z Q Q <br /> M <br /> 2 Mk' �y�3 X -� <br /> 3 row- � �yv <br /> 4 <br /> 2 3 <br /> s Iti~ 0(9d <br /> 6 M kr` GV q <br /> 7 m w• 7� <br /> 8 <br /> 9 <br /> 10 <br /> Sampler's Name �v 5 /Affiliation Dste ime ccepted By/A ation Date sme <br /> Sam ices Compan <br /> Shipment Daie • Z y� <br /> Shipment Method y <br /> Shipment Tracking No <br /> Special Instructions• <br /> Custody Seals in Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt 1!� Trip Blank Yes No <br /> LABORATORY BP COC Rev t 215102 t. <br />