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i <br /> Chain of Custody Record Page-�of-!— <br /> Project <br /> f3Project Name: ARCO 2I30 OW Quarters On-site 31111 111M 61UN2 Tem <br /> ��»`4x` BPWARRegion/EnfosSegment• OP>Americas>WeslCoasl>Retad>4!'CBU>CA Off-site Time 12 lid Tein <br /> , � , ky Conditions <br /> Central>2130�HlstarrcalBL U' <br /> State or Lead Regulatory Agency: San JoaqumCounlyEnvuonmenlaiManagemedDept MeteorologicalBvents <br /> Requested Due Date(mm/dd/yy) .. and Speed A64 <br /> Dlrechan rM <br /> Lab Name Sequoia SP/AR Faeilit No 2130 Consultanycontraetor URS <br /> Address 885 Jarvis Drive SPAR Facility Address 7906 N EL Dorado Street,Stockton,CA 9521 Address 2870 Caleway Oaks Drive Sulte 300 <br /> Morgan HilI,CA 95037 Site LaVLong N/A Sacramento CA 95833 <br /> Lab PM Lisa Race California Global ID No T0607700074 CoiisultantlContractor Project No 38466469 <br /> Tele/Fax 408 776 9600/408 782 6308 Enfos Project No QOBZK-0002 Consultant/Contractor PM Vernon Elarth <br /> WAR PM Contact Paul Su le Provision or RCOP Provision Tele/Fax 916 717 5045/916,679 2900 <br /> Address P O Box 6549 Phasefwl3S 03-Operation&Maintenance Report Type&QC Level Level 1 with EDF <br /> Mora a,CA 94570 Sub Phasci Task 03-Analytical 13-mail EDD To Denise Yee ursco com <br /> Telc/Fax 925 299 8891/925 299 8872 Cost Element 05-Subcontracted Costs Invoice to Altailtic Richfield CO <br /> Lab Bottle Order No Matrix Preservative Rcquested,Analysis <br /> o � <br /> +a <br /> Item N Comments Sample Point LatlLong and <br /> No Sample Description A a Laboratory No ¢ p p Q d o <br /> U iyi Comcnts <br /> C7 <br /> r•I P � � J.y Ri � Cp Q � <br /> 3 tDbQ z <br /> 12i W I t 3 X X <br /> r 2 41 Lu urK 12- NIK X <br /> 3 U w %T" 13 <br /> 4 w•$ 6�7� t� <br /> 5 Uw -tID DWI 1S <br /> 6 t 1t4t5 <br /> 1 7 VW -1Z 12117 t <br /> 8 m v LA <br /> 9 s-► t3Kl? tq `� X <br /> 10 r��-2lir IliIL 10 <br /> Satripler's Name illi, Relinquished By!Affiltatton Date Time Accepted By/Affiliation Dale Tine <br /> Sam ler's CoTpLnX <br /> Shipment Date I i <br /> Ship went Method I j <br /> Silt anent Tracking No <br /> ectal Instructions <br /> z <br /> Custody Seals Place Yes No TeMP Blank Yes No Cooler Temperature on Receipt °FIC Trip Blank Yes No <br /> Dislrl6 White Copy-Laboratory/Yellow Copy-BP/Atlantic Rlchfleld Co /Pink CW <br /> nsultant/Contractor nr COC Rev 4 1911104 <br />