Laserfiche WebLink
. V'7 —J r-tjr ! <br /> • Pao,-j of +- <br /> � F� Chain of Custody Record � 30 7 7 <br /> bp On-site Ttme Tem <br /> Project Name 1.1191 GW Monitoring Off-site Time 70 Tem � <br /> S B BlYGEN1 CO Portfolio: Retail SkyConditions <br /> 1311 Labotatory Contract Number, Atlantic Richfield Co. Ieteorolo seal Events 13«,c <br /> �te 10-,,1- 01.1 Requested Due Date(mm/dd/yy) 5�1"A-rf1 Wind Speed t d(` ell Direction /1,, <br /> Send To BPIGEM Facility No 11191 Consultant/Contractor URS <br /> Lab Name SEQUOIA P/GEM Facility Address 1469E HAMMER LANE, STOCKTON, CA Address 2870 Gateway Oaks Dr, Ste 300 <br /> Lab Address 1455 N McDowell Blvd Suite D Site ID No 11191 Sacramento CA 95833 <br /> Petaluma, CA 94954 Site L.at/L.on -matt EDD denise ee uwo <br /> fp corn <br /> alitornia Global ID 9 T0607700333 onsultant/Contractor Project No <br /> Lab PM An elee CanBi/GEM PM Contact PAUL SUPPLE onsultant Tele/Fax 916-679-23871916-679-2900 <br /> elelFaa 707-792-1865/707-792-0342 Address P 0 Box 6549 onsultant/Contractor PM VERN E <br /> Report T e& C Level Send EDI Reports Mora a, CA 94570 VIGEM <br /> oi.,t,to Cmwltant/Contractor 13P/GEM -ccle one) <br /> SP/GEM Account No 400-6-21124 elvTax 925-299-8891/925-299-8872 Work Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis ° <br /> cc <br /> F- <br /> m C4 ;0 <br /> Item No Sample Description Time � � � Laboratory No o L w � N ¢ � `�° c � S�4rtple aint Lat/Lang and <br /> cn „ w 0 n � °' m d � W omtnents <br /> w a L 0 _ e s�i pG <br /> 3 �d Z x v x a � 0' <br /> x c7 Q w w to z <br /> 1 <br /> 2 M tt/ 130 <br /> 3 vN w- } /p o3 { �C <br /> 4 i,,- "rl t L3� X <br /> 6 �' '� ti/1� X d X X ( [3 <br /> 7 <br /> s rr� 111s 1 r �� vU x t ' 2 <br /> 9 <br /> 10 <br /> Sampler's Name RAlin uishedBy/Affiliation ate Time cce tedB /Aftilahon ate ime <br /> Sampler's Com any j ,; situ vlw . ' �} 'V 1 qw <br /> Slu anent Date p t1x7 <br /> Shipment Method <br /> Shipment Tracking No <br /> pecwl Instructions Address invoice to BPIGEM but send to URS for approval -If total lead value is>50 analvze for lead by STLC value is>5 analvze for lead by TCLP <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> Custody Seals In Place Yes k No Temperature Blank Yeses No Cooler Temperature on Receipt F/C Trip Blank Yes­'Y No <br /> DistrlbutiOn While Copy Laboratory r Yellow Cop)-BPiGEM /Pink Copy COI)SUILDUCCatraCtnr BP COC Rev 1 111/02 <br />