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Chaim of Custody Record ,site Tin= T : <br /> bp Project Name ff-site Tirne— Te=n <br /> BP BU/GEM CO Portfolio: t Conditions: <br /> BP Laboratory Contract Number: oroloRical Evearir. <br /> Date: —it <br /> —,k) <br /> t, Requested Due hate(mnv&vyy) kind S ed: Direction: <br /> rr <br /> rabAddress: <br /> PIGEM Fadi iso.: onsultantfContractor: URS <br /> e: SEQUOIA PIGEM Facil Address: 1617W. FREMONT ST STOCKTON CA 2870 Gat Oaks Dr. Ste app 885 Jarvis Dr_ Site 11)Ala. ARCO 5450 Sacramento.CA 95833 x <br /> Morgan Hill,CA 95037 Fdl/OrcM <br /> Lot! rrrait EDD: cten�e utsmr .cnrn <br /> fornia Global lI3# suItantlCaniraetnr Project Na- 154J00054i0.01 04427 a <br /> ab PM: Laton a Pelt /GEM Pit Contact; PAUL SUPPLE suitant TclefFax: 91"79-23871916-679-2900 <br /> eldFax: 408-776-9600140&7$2-6308 sukanWorntractur PM: VERN ELARTH <br /> m <br /> ort Type 8t OC Level:Send EDP Repwts ice lm ConsultaridComracter or PiCiEht is one) <br /> PfGENI Account No.. ele/Fax: PPIGEM Work Release No: + <br /> ab Battle Order No: Matrtx Preservatives Requested Analysis <br /> c � <br /> a <br /> KU 4 <br /> cry � pp l.T <br /> ItemNe. W c oo ua Sample Point Lath ang and <br /> Plc. Sample Description Tinse ahoratory Na. o co Q ag <br /> oC5 <br /> O t7 O W Cammenla <br /> in <br /> CA x F �� W <br /> 1 MU)-L ISSS )C 6 <br /> 2 MW-3 1610 A >{ <br /> CD <br /> 3 MW--R 16Zo 1C a <br /> 4 c= <br /> 5 c <br /> c <br /> 7 <br /> ti <br /> 8 <br /> 9 <br /> 10 <br /> R <br /> sName: SMG vjc%w'1 elle uiahed IUGllat3an to a /Aliitiirlon Rte me <br /> s Com :5 iw"e Iteal. �rV,!t Date:t Method: <br /> t Tiac No: <br /> nstrgc[iona: Address Invaire to IBPIGENI but send to URS tar apurorlal <br /> Seals In Place Yes NO Temperatam Blank Yes No Cooler Tcrnperatam on Receipt °FIC Tlp Bhmk Yes No <br /> Uslributian:White Capy-Labo=atary f Yeltaw Copy-RPlGEM I'Mok CDR-CornsoltmLconhactor HP COC Rev_t L�fo1 <br />