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/ ,9*,10! 1` -SJR•1 Page q o <br /> Cham of Custody JR-ordOn-site Time Tem <br /> * P Project Name ARCO 760 GW Monitoringff--site Time Tcm <br /> BP €3U/GEM CO 1 of tfolio: Retail <br /> k Conditions C I k G- <br /> BP Laboratoi 3 Coiitract Nuxnbet _ Atlantic Richfield Co. Meteorological Events <br /> Date. _{ _ S 002 Requested Due Date(mm/dd/yy) i tra�a, and Speed r+ Dircction i.! <br /> Send To: T BNGEM Fatthty No ARCO 760 onsultant/Contractor URS <br /> Lab Name SEQUOIA P/GEM Facility Address 225 S Cherokee Ln,LODI,CA Address 2870 Gateway Oaks Or,Ste 300 <br /> Lab Address 1455 N McDowell Blvd Suite D Site ID No ARCO 760 Sacramento, CA 95833 <br /> Petaluma,CA 94954 Sitc Lat/Lon mate EDD der1is2_yee@urscorp com <br /> aIifornia Global ID# T0607700245 onsultant'Contrac.tor Project No <br /> Lab PM An elect Can WiGEM PM Contact PAUL SUPPLE Consultant Tele/Fax 916-679-23871996-679-2900 <br /> Tele/Fax 707-792-1865/707-792-0342 Address P 0 Box 6549 on5ultanvContractor PM VERN E <br /> R22ri T e& C,Level bevel I Mora a, CA 94570 nvotce to ConsultanvCottlrac for BP/GEM iroie ane) <br /> BP/GEM Account NoTele/Fax 925-299-88991925-299-8872 P/GEM Work Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> w <br /> y O <br /> V1 <br /> Item No Sample Description Time v ' !2 Laboratory No o °O 0 < d'd Sample Point Lot/Long and <br /> o 4U ❑ z Hca d Comments <br /> c6i. 3d � F w 'far <br /> k ?C Ix IX K <br /> 2 Mw L 9tS" n G K x <br /> 4 2 Z xtiC k re O M a i t!�, <br /> 5 <br /> 6 L A IN ACTe <br /> 7 CO <br /> 80 <br /> 9 RM pg U <br /> 10 <br /> Sam let's Name Ice f �/c tc rt Relinquished Bx I Affiliation Date ime ccepA By I Affiliation Date ime <br /> Sam let's Com any Tp 1, Ir`ra li .,1 ,, t; G <br /> Slu ment Date .yam G xe 46w <br /> Slu ment Method z f <br /> Slu ment Traclan No <br /> pecial lnstractlons Address Invoice to BP/GEM but send to URS for approval -if total lead value is>50 analyze for lead by STLC.value Is>5 analyze for lead by TCLP <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> u,tody Seals 1n Place Yes No Temperature Blank Yeses No Cooler Tempe7ratuve on Receipt of/C Tnp Blank Yes X No <br /> Mstnbution White CUPS-Laboratory r Yellow Copy-BP/GEM /Pmk Copy-Consuitant/Conowor 8P COC Rev I 215102 <br />