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N <br /> • Page I of <br /> --.w Chain of Custody Record 614 irt-t, <br /> Aw On-site Time: Temp: <br /> AY Project Name ARCO 5450 GW Monitoring` Off-site Time: t�''t`� Tern : <br /> 4� BP BUVGENI. CO Portfolio: Atlantic Richfield Com k Conditions: C.l eur- <br /> 131'Lalioratory Contract Number: 461000 MeteoroI 'ca] vents: <br /> Requested Due Date(mm/ddiyy) 1vind S eed: Direction: <br /> end To: BP/GEM FacilityNo.: ARCO 5450 Consultant/Contractor: URS <br /> Lab Namc: Sequoia Petaluma P/GEM Facili .Address: 1617W. FREMONT ST, STOCKTON, CA Address: 2870 Gateway Oaks Dr.,Ste 300 <br /> Lab Addretis: 1455 N. ]McDowell Blvd. Suite D Site ID No. ARCO 5450 Sacramento, CA 95833 <br /> Petaluma, CA 94954 Site Lat/Lon : mail EDD: denise ee urscor .com <br /> aliforniaGlobalID#: T0607791886Consultant/Contractor Project No.: <br /> Lab PM: Mike Giles BPIGEM PM Contact: PAUL SUPPLE Consultant Telr-Tax: 916-679-2000/916-67 <br /> cic:/Pax. 707-792-18651707-792-0342 Address: a P.O. Box 6549 ConsultantiContractor PM: Jeff Broo <br /> Rr on 1" e QC Levet:level I Re ort&EDF Mora a,CA 94570 Invoice to: Consultant/Contractor BP/GEl ;rcle ouc) <br /> BPiGEM Account No.: Tele/Fax- 925-299-88911925-299-8872 BP/GEM Work Release No: <br /> Lab Bottle Order No: Matrix Preservatives Requested Analysis <br /> :x1 <br /> N <br /> O <br /> u � � <br /> Item � <br /> Sanplo DecriptioLaboratoryNo .9 w ^ 0N � ¢ �ao <br /> Sample Point LaULong andNo <br /> 59M - 0D h : <br /> O Comments <br /> a pWp�]" �. <br /> ts7 0 <br /> 4 '7'6• 54460- I I ZZ Z+7e <br /> 5 <br /> 77 <br /> oC <br /> y <br /> 1D <br /> Saif7 ler's Name: telin uislied By/AMHation D e fine Lccwnd B•!Affiliation i)at tilos <br /> Satre let's Company. �1rti(� �.. V,'& Z d J3se �cc� o �S`G <br /> Shipment Date: <br /> Shi merit Method: <br /> Shipment Tracking No: <br /> Special Instructions: Address Invoice to BP/GEM but send to URS for approval <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> Cusiodv Seals In Place Yes_( No Temperature Blank Yes2 No Cooler Temperature on Receipt EIC Trip Blank Yes No <br /> Distribution: White Copy-Laboratory/Ye]]ow Copy-BP/GEM /Pink Copy-Consul tantfContractor SP COC Rev.3 12/15103 <br />