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e2. ofZ <br /> Chain of Custodytcordon-site Time Temp ab <br /> Project Name _ 7, ) L, A <br /> G �� � Off=site Time Temp, <br /> BP BU/GEM CO Portfolio: Sky Conditions <br /> BP Laboratory Contract Number Meteorological Events <br /> Date: c5 _ Requested Due Date(mm/dd/yy) Wind Speed Direction <br /> Send To: BP/GEM Facility No cN Consultant/Contractor <br /> Lab Name BP/GEM Facility Address W �.f+ Z Address <br /> Lab Address Site ID No ;� <br /> Site LatUng a-mail EDD <br /> alifornia Global ID#'� jJ Consultant/Contractor Project No <br /> Lab PM PIGEM PM Contact a Consultant/Contractor Tel <br /> Tele/Fax dress Consultant/Contractor PM Tok",5, <br /> Invoice to Consultant/Contractor or BP/GEM (Circle one) <br /> Report Type&QC Level <br />� BP/GEM Account No Tele/Fax P/GEM Work Release No <br /> Preservatives Requested Analysis <br /> Lab Bottle Cyder No Matrix <br /> I <br /> b <br /> x o Sample Point Lat/Long and <br /> Item Sample Description Time b �'' = Laboratory No 0 � C14 Laboratory <br /> No 00 00 <br /> a a 4 Q Q 1� <br /> I PA w- Cs M <br /> 2 w <br /> 3 hi 'E - <br /> 4 r)7a <br /> S o T— <br /> b <br /> 7 <br /> s <br /> 9 <br /> J <br /> Sampler's Name,Mj t l Re uhhe 1 Afiiliadon Date Time ccepted By 1 A n Date ime <br /> Sam ler's Company <br /> Shipment Date •77 <br /> Shi Ment Method w <br /> Shipment Tracking No r + <br /> Special Instructions. <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt},yc_ i Trip Blank Yes Nom <br /> LABO A ORY BP COC Rev 1 25102 <br />