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Chain of Custod3`Icord Page- °f <br /> n-site Time: � t t D Tem : <br /> Project Name: ARCO 2130 QW uarterl Off-site Timc: � 1lXks Tc : /V <br /> BP BU/ARRegian/Enfes Segment: BP>Arner�s>wastcoast>ItetBa>wceu>cA <br /> >Central>2130>MsloricalBL ky Conditions: <br /> Mete <br /> m- Regulate _ _... - <br /> 'State-or-Lead- ryAgency:-- =SanJoaquinCount.Envlronmsrtal.ManagemanipepL Wind a113vcnts_ IV Diicition: .N ` <br /> Requested Due Date(mmldd/yy): MindSpeed. <br /> A <br /> Lab <br /> ortaultant/Contractor: URS <br /> Name:Sequoia <br /> BP/AR FacilityNo.: 2130 <br /> " - Address:885 Jarvis Drive � PIAR lracili Address:7906 N. Dorado Street,Stockton CA 952 ddresa: 2870 Ciatewa Oaks Drive Suite 300 <br /> ---- •--- Sacramento CA95833 <br /> Lat/i. <br /> Mo an Hill,CA 95037 ite on : NIA <br /> afifornia 41oha1 ID Na.: 70607700074 Consultant(CE)ntractor pro'ect No.: 3846on BE <br /> Lab PM:Lisa Race onsultantfContmotor PM: Vernon larth <br /> cleMax:408.776.9600/408.782.6308 Bnfos Project No.: QOi3ZK-0002 <br /> Provision or RCGP: Provision ele/Pax: 916.717.5045/916.679.2900 <br /> SP/AR PM Contact:Paul Supple 03.Operation 8c Maintenance rt T e 8c C Leval: Level 1 with EDIT <br /> dress:P.O.Box 6549 haae/wBS: <br /> & <br /> ub Phasc/Task: b3-Anal ical mai!EDD To: Denise Yee ursco .com <br /> Mora a,CA 94570 nvoice to: Altantic Richfield Co. <br /> Tele/l+ax:925.299.g8911925.299.8872 Coat Blement: 05-Subcontracted Costs <br /> Matrix preservative Requested Analysis <br /> Lab bottle Ordcr No: <br /> o <br /> Samp o Point Lat/Long and <br /> Lobo Ilio. ' cau� a Comments <br /> Item Sample Description r a N <br /> No. A " °.°. v v <br /> bo <br /> 1 tmS^ <br /> t DS 1 <br /> 2 ..3, 132o A�tt <br /> 4 [6.2 YLZ _ <br /> 5 <br /> b <br /> 7 <br /> 8 <br /> 9 <br /> 10Accepted By/AfNiatlon Date 'lime <br /> Relln ulslred By/Allttiatiou Date s 1 L / /6 <br /> ampler'S Name: <br /> /G f0 <br /> S ler's Com an . A ?If7 tD3t 4SL `�' U 3+ <br /> hi ment Date: �F <br /> [Shipment Method: <br /> Shi ment Tracking No: <br /> 5 ecialInstructions: <br /> Temp Blank Yes No Cooler Temperature on Receipt �/C Tri Blatilc Yep No <br /> Cus1Ad Seals in Place Yes No CoI15t11tant/COntractor BP COC Rev.4 l0lI/04 <br /> Distribution: White Copy-Latloratory/Yellow Copy-Bl7/Atlantic Richfield Co. I Pink Copy- <br />