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Page 3 of <br /> Chain of Custody Record orate Mme TMV <br /> :Qb ' Project Name 3004 Groundwater Sampling Event Off-site Time Teaip'f <br /> BP BU/GEM CO Portfolio: Atlantic Richfield Company SkyCondrtsons ][ <br /> BP Laboratory Contract Number: _ 1tGl odo eteomlo cal Events <br /> Date. -7j4Zi-e4. Requested Due Date(mmlddlyy) A-5—og Wind S eed Direction. <br /> Send To BMW Facility No ARCO Station 4932 Consultant/Contractor SECOR <br /> Lab Name SEQUOIA ANALYTICAL BP/GEM Facility Addrwr 16 R HardinWay,Stockton Address 3017 Kilgore Rd.,St&100 <br /> Lab Address: 885 Jarvis Drive Site ID No Rancho Cordova;CA 95670 <br /> morganwICA95037 Site Lat/L.on e-mail EDD ktleso ecoreom <br /> Califonma Global ID P 70607700237 Dmaultant/Conawor Project No 77ep 54832.04.0927 <br /> Lab PM Lisa Race BP/GEM PM Contact Chun Paul Su le Cowultant/C4ntractor TelelFax: 916 8610430 <br /> Tele/Bax 9169219600 Address PO Boz 6249 Consultant/Contractor PM TL Beakosky <br /> Report e&QC Level Mora a,CA 94570 Invoice to Consuliant/Contractor or 13P/013M <br /> BP/GEM Account NoTele/Pax 925 299 8891BP/013M Work Release No 63964 <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> g� o � w <br /> No Sample Description Time Q. Laboratory No a o Sample Comments g and <br /> 0 <br /> o <br /> 4 C <br /> 17 MW-1 7 r ..ay D X ! 3 X X X3796 IL 72365/ -1212944698 <br /> "18 MW-2 X 13 3 X X X 7 98750$3/ -121 2945466 <br /> —19 DMW-3 /-/V-ov 1AZB X S( 3 X X X 37 9675576! -121.2941930 <br /> 20 CTB X 3 X X E __ <br /> Samples N y/Atiiltation ate rim Acce ted By IAMUtion ate IG ase 7( • <br /> SIer'S Co an Lp <br /> Shi meat Date -7-1 <br /> 7// <br /> 4 Gt 3• <br /> Slit meat Method �� ` - <br /> Slupmcut Tracking No [ <br /> becud Instructions <br /> I Il <br /> d Seals In Place Yes No Temperature Blank Yes No Cooler TenVeratnm on Receipt 'FIC Trip Blank YesNo <br /> tnbutwn White Copy-Laboratory 1 Yellow Copy-BP/GEM 1 Pink Copy-Cmsultant/Contractor BF COC Rev 1 2W2 <br />