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Page of—L <br /> Chain of Custody Record -site Time Temp <br /> 0 bp Project Name Station N2_760 Pff site Tarte Temp <br /> BP BU/GEM CO Portfolio: Atlantic Rlchffeld Company 'kyConditions <br /> _ l BP Laboratory Contract Number. eteornlo cal Events <br /> Date 1 O Z4 Requested Due Date G and S D,rection <br /> Send To ( P/GEMFacilityNe 760 onsultant/Contractor URS Corp <br /> Name S uoia PIGEM FacilaX Address 225 S Cherty Ln,Lodi,CA kddress 2870 Gateway Oaks Dr,Ste 300 <br /> rabAddresstte ID No ARCO 760 acrarnento,CA 95833 <br /> 1455 N McDowellBlvd,Suite D rte Lat/Lon it EDD Denise Y U m <br /> hforma Global <br /> #70609900422 <br /> �1 Petaluma,CA 94954 onsultant Pro ect No 38466394 0044661 <br /> Lab PM An elee Can DPIGEM PM Contact Paul Supple multaniTele/Fax 916-679-2000)679-2900 <br /> TelelFax 707 792-1805 1707 772-0342 Address P 0 Box 6549 2onsultant PM Vernon Elarth <br /> Report Type&2gLevel Level 1 Mora a CA,CA 94570 Ignvowe to DP/GEM <br /> PIGEM Account NoTele/Fax 925 299-8891 nfos Project No GOW-0039 <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> i6 <br /> d <br /> item T Sample Pomt Lat/Long and <br /> No Sample Description Time Laboratory No 0 " <br /> Comments <br /> 00 <br /> 00 <br /> ct <br /> ro c ■ <br /> 3 C'n -<I z :,D :E <br /> l r <br /> 2 r y <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> to <br /> Sampler's Name Matt Farris Refinqunited k IAffdtation ;4-te. <br /> Time ted B /Affilrationted B /Affitrxtion ate e <br /> Samltx's Co an U125 Co ration /aL/�� <br /> Stu trent Date J L <br /> Shipment Method /G► <br /> #Snhi meet Trackrn No ! <br /> al instructions "8 C7Xy mates additives=MTBE,TBA,DIPE, ETB E,1,2-DCA. B,and ethanol <br /> tf total lead value is>50 M anal a for lead b S STLC value>S m,anal a for lead b TCLP <br /> = Meals J Yes=o _ Tegurc BMes ler oWture Mcipt jMF/C=rip t3♦es M M <br />