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Pag&of <br /> bp Cham of Custody Record V -site Tune Temp <br /> z Project Name q, cel site Time: <br /> BP BU/GEM C4 Portfolio: Atlantic Richlteld Corn arl � � 20BP Laboratory Contract Number: p Y si�y Conditions J <br /> c L-4 71 <br /> Date _ 2 „©`0 �_ Requested Due Date(mm/dd/yy) Standard TAT ind S F�teorological Events ,J <br /> / l r+ Direction <br /> Send To 18ite <br /> /GEM Facility No <br /> Lab Name Sequoia Analytical onsaltant/Contractor URS Corparatlon <br /> BP/GEM M 1 acllf Address v ddress 2870 Gateway Oaks Drive,Suite 34 <br /> Lab Address 1455 McDotivell Baulevard, ID Na l <br /> North, Suite D Sacramento,CA 95833 <br /> e Lat/l o -mall EDD denibe eeQtlrscarp com <br /> Petaluma, California 94954 ifornia Global ID# �-i— nsitltant/Contractor Pro ect No <br /> I ub PM Angelee Can /GEM PM Contact C C.�y���Tele/Fax (707)7921865{707)792 0342 onsilltmVContracfor TeIelrav(916)679.2000(916)679.2900 <br /> dress onsultant/Contractor PM <br /> Report = 7h�.QC Level i <br /> BP/GEM Account Nonoice to ConsultanUContractor hole one <br /> Tele/Fax FIGEM Work Release No <br /> Lab Bottle Order No Matrix Preservatives <br /> Requested Analysn <br /> w <br /> Item ., <br /> Na Sample Description Time LaboratoryNo8 a Sample Point LatlLong and <br /> oo O 0 D4 00Ik Comments <br /> y <br /> 2 <br /> 3 <br /> 4 r t1 k <br /> 5 mow , , <br /> 7 w. ^$ -� V <br /> $ ..�Iujrto °l Y <br /> s Uu. qtr0 l <br /> 10 <br /> Sampler's Natne 11,lt� ,,�,,z, L Remiqulsteed Py I AMbatloq <br /> to line ccepted By/ atlan to Ime <br /> Sam leI's Com an' 711 <br /> Shl mint Date // <br /> Slu pient Method f 3' <br /> 2 <br /> Shipment Tracking No ” <br /> Special Instructions <br /> Gllstody SUIS In Place Yes L---NO Tern rature Blank Yes o Cooler Temperature on Receipt °t+YC Tnp Blank Yes L—No <br />