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Page�ollik <br /> 0 IRW <br /> � Chain of Custody Record 11 On-site Time 700 Tem . ;1_ <br /> I n. bp Project Name ARCO 2130 GW Monitoring =site Time 16" Tem <br /> 133' 13UIGE_ 1 CO P <br /> orttoho Atlantic lbdifiettl Co. Sky Conditions <br /> 131' Labmittoty Contract Number: 461000 f Meteorolo t ai Events <br /> Requested Due Date(maildti yy)_S f �:�t y F ind Speed Direr tion <br /> Send To, BMEM Facili No ARCO 2130 onsultantlContractor URS <br /> Lab Name Sequoia PetalumaPIGE'M Facility Address 7906 N EL DORADO ST, STOCKfON CA Address 2870 Gateway Oaks Dr Ste 300 <br /> Lab Address 1455 N McDowell Blvd Suite D Site ID No ARCO 2130 Sacramento,CA 95833 <br /> Petaluma, CA 94954 Site LaVLon -mail EDD denist_yee@urscorp com <br /> California Global ID 4 T0607700074Consultant/Contractor Project No <br /> Lab PM Mice Giles BMENI PM Contact PAUL SUPPLE Consultant Tele/Fax 916-679-20001916-679-2904 <br /> elul'ax 707-792-18651707-792-0342 Address P 0 Box 6549Consultant/Contractor PM VERN E <br /> lie on T�pe&QC Ler el Lek d l Report&EDF Mora a, CA 94570 Invoice to Consultant/Contr wtor BP/GEM irate ooe) <br /> BP/GEM Aci ount NoTele/Fax 925-299-8891/925-299-8872 P/GEM'4'4'ork Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> w <br /> o � <br /> is � <br /> N Sample Point L,at[Long and <br /> 10 i Sainple Description <br /> H b = LaboratoryNo C ,tVo °O Comments <br /> o `� d iw <br /> Q <br /> rn <br /> i V w -�— tI }0 7� fti ]� >� <br /> 3 V W- 7 3Sz3 111A <br /> a w- 632 r 4.1 (4 6 <br /> s 7l�_ IX l I I I sLU <br /> X <br /> Vw-1 )__ 1300 14w 6 Y, x <br /> 9 <br /> 10 <br /> Sampler's Name Oz 6ckilqurshed B /Affiliation Date inie lAcccpted B /Affiliation Date irne <br /> am lei's Company ��,,, <br /> Tel 1S a a� d 6" , <br /> Shipment Date P649 tZ <br /> Sht mens Method z< f <br /> lit mens Tr iLl in No 99 �3 ° � <br /> U /� <br /> uecial Instructions Address Invoice to BP/GEM but send to for anuroval / <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> 'ustody Seals In Place Yes -AsNo Temperature Blank Yes No Cooler Temperature on Receipt °pIC Tnp Blank Yes No <br /> Di.trnbomw 1'tisk Copy Laboritor)!S dlo,Copy BIyGE,%I 1 Purl.Cop} -CoaSu[ UWCoatractor BP COC Rev 3 I21I"3 <br />