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iPagaJ-, <br /> Chain of Custody ]record On-site Time: Tem <br /> 4- Project Name ARCO 5450GW Monitoring Off-site Time: Tem : <br /> bp� <br /> BP .BG <br /> U/ EM CO Portfolio: Retail SkX Conditions: Q� <br /> Q\— BP Laboratory Contract Number: Atlantic Richfield Co. Neteorological Events: PWOtf <br /> Date: �� Requested Due Date(mm/dd/yy) ind Speed: 5-1,0 Direction: <br /> Send To: BP/GEM Facili No.: ARCO 5450 Consultant/Contractor: URS <br /> Lab Name: SEQUOIABP/GEM Facili Address: 1617 W. FREMONT ST, STOCKTON, CAAddress: 2870 Gateway Oaks Dr., Ste 300 <br /> Lab Address: 1455 N. McDowell Blvd, Suite D Site ID No. ARCO 5450 Sacramento, CA 95833 <br /> Petaluma, CA 94954 Site Lat/Lon e-mail EDD: denise ee ursco .com <br /> California Global ID#: 70607791886 Consultant/Contractor Project No.: <br /> Lab PM: An elee CadBP/GEM PM Contact: PAUL SUPPLE Consultant Tele/Fax: 916-679-23871916-679-2900 <br /> elciFax: 707-792-18651707-792-0342 Addrew P.O. Box 6549 Consultant/Contractor PM: VERN E <br /> Report Type&QC Level:Level 1 Mora a, CA 94570 Invoice to: Consuitant/Contractor BP/GEM ircle one) <br /> BP/GEM Account No.: Tele/Fax: 925-299-88911925-299-8872 BP/GEM Work Release No: <br /> Lab Bottle Order No: Matrix Preservatives Requested Analysis <br /> W <br /> o m <br /> 72 X 00 0 <br /> aItem No. Sample Description Time Laboratory No. F Sample Point Lat/Long and <br /> «0 C) ¢ <br /> o w w r " i m ¢ Comments <br /> o O O U HUJ <br /> rn � Q Z U Fa allo F L Wfl =oNa <br /> 1 / <br /> 3 3C) <br /> 4 `r 1. 7L v'L Y ►t <br /> 5 <br /> 6 1 cooCUSTODY SEAkrT <br /> 7 NOT I TA <br /> 8 0 <br /> 9 ErylprRxft :2 <br /> 10 <br /> Sampler's Name: Relinquished By/Affiliation ate Time c B /Affiliation Date 6M <br /> Sampler's Company: Oc e �S G� 1 q14-)- <br /> 2 ��- �lJ- <br /> Shi ment Date: f �aw s f3 j81t,310 5, <br /> Shipment Method: S4 <br /> Z I <br /> Shipment Tracking No: <br /> Special Instructions: Address Invoice to BP/GEM but send to URS for approval -If total lead value is X50 analyze for lead value is>5 analyze for lead by TtL10 <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> Custody Seals In place Yes No Temperature Blank Yes _No Cooler Temperature on Receipt F/C Trip Blank Yes No <br /> Distribution: White Co y-laboratory/Yel``!o-w Copy-BP/G;;EM�ny/Pink Copynn Consultant/Cortiactor ^ BF COC Rev.l 215IO2 <br /> CY?T ► v if' �a Lr�f l]0 to�l }tn .1 e.ti 7i'�..•� ,/ VY1 <br />