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+U <br /> -San Ft•ancisc �Os� Conor illip s Chain 4f Custody Record 5 <br /> L6� ' S � <br /> ConocGPhlltips Site Manage( ,rtOc PNtlitp WarkordetNumber <br /> "'".".-waa,..¢ LySk'3•^� a d 34 14 i i <br /> q F <br /> 1220 Quarry Lane INVOICE REMITTANCE ADDRESS CONOCOPHILI*1P5 GATE <br /> Pleasanton, CA 94566 Attn Dee Hutchinson F t x. tp�a <br /> ;� -CoMp I Go t#3b�ect u <br /> 3617 South Harbor,Suite 200 sanv� a � * Y PAGE of <br /> (925)4$41919 (925)484-1096 fax Santa Ana,CA 92704 <br /> SAMPLING COMPANY 111211d Yalu*ID CONOCOPHILUPS SITE NUMBER OLOBAL IO NO <br /> TRC P <br /> ADDRESS SITE ADDRESS IStreel and City) CONO CPNILUPS SITE MANAGER <br /> 21 Technology Dnve,Irvine CA 92618 <br /> PROJECT CONTACT{Hardcopy or PDF Report to) <br /> AnjuFarfan EDF DEUVERABLETO(RPorDesignee) I, No NO lawL LAS USE ONLIfi Qf, �F x p G <br /> TUEPHONE FAX E.M9L Peter Thomson TRC 3_ ;reg <br /> 949-341-7"0949-341-7408 <br /> 949 <br /> 949-753-0111 afarfan@tresolutions com pthomson@tresoluhons com <br /> SAMPLER NAME(S)(Print) CONSULTANT PROJECT NUMBER <br /> Lli 6 G S/—Ciro 410500011FA20 REQUESTED ANALYSES <br /> IOA <br /> TURNAROUND TIME iCALENDARDAYS) ro0 Q <br /> 14 DAYS [3 7 DAYS [] 72 HOURS [3 40 HOURS D 24 HOURS[3 LESS THAN 24 HOURS c r C w \0 <br /> +v a a <br /> °i o FIELD NOTES <br /> SPECIAL INSTRUCTIONS OR NOTES CHECK BOX WEDD IS NEEDED jam W O O `° h d N <br /> ro m n h ti N ContainerlPreservative <br /> X X D -+ °' Z -� or PID Readings <br /> 43 LU F g 0 io a r~n or Laboratory Notes <br /> w m m m � _ F' 13 y <br /> 2IL Ww <br /> a e U. 21 0 <br /> o m m ~p `� <br /> Field Point name Gn r ulred If different from Sample 10 `0 ! <br /> I&A r amp a en c$ On ielcl Point SAMPLING NO OF r 0 m b � r In TEMPERATURE ON REGEIPT C° <br /> tUSEr * MATRUC CONT O N N V N O 67 <br /> bNLy� Name DATE TIME m m + m = OD co <br /> a <br /> A <br /> 2g A4 <br /> t <br /> )sn 3 4 <br /> f <br /> Reingiashed by(Signature) � e Received by(Slgnabre) Dale Time <br /> � f <br /> Rehngwahed by(Signature) Rao viii by(Sig Dale Time <br /> moingWshed by(Signature) Received by (Signature) Dat l Time <br /> APY 17U a �. f3 � 1720 <br /> — 9118!03 Re+nsron <br />