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I <br /> 0 7/0 }-S//- Page (ao€ <br /> 01, Chri Of �liS Ody Recor n-site lime Tem Protect Name 11191 GW Monitolring_____` ff site Time TemPBP BU/GEM CO Portfolio: Retail <br /> � Sky Conditions C jqo.- <br /> 4X1 HP Laboratory Contract Nuniber: Atlantic Richfield Co. eteorolo ical Events <br /> ate ;ga _,-A_ � �3 Requested Due Date(mm/dd/yy)_ _J4.k Direction N <br /> Send I o13P/GEM Facility No 11191Consultant/Contractor URS <br /> Lab Name SEQUOIA Bptgm racility Address 1469 E HAMMER LADE,STOAddress 2870 q2!2way 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 Lat/Lon -mail EDD deniseee urscor com <br /> a-ifornia Global Ili# 70607700333Consultant/Contractor Project No <br /> Lab PM An elee CanBP/GEM PM Contact PAUL SUPPLE Consultant Tele/Fax 916-679-23871916-679-2900 <br /> Tele/Fax 707-792-1865/707-792-0342 Address P O Box 6549 onsultant/Contmctor PM VERN E <br /> e ort 1 e& C Level Send EDP Reports Mora a, CA 94570 nvoi"to Consultant/Contrai ter SP/GEM ucicora} <br /> BP/GEM Account No 400-6-21124 Tele/Fax 925-299-88911925-299-8872 P/GEM Work Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> a X e <br /> 00 C4 <br /> Item No Sample Description Time o Laboratory No °o > °p -a z Sample Point L2t/Long and <br /> O A H Q Comments <br /> o a w U <br /> rn 3 rig LJ <br /> Z a x c o °' c4 `� arq <br /> E— F � �} 00 <br /> 7 r"iw-z lJSc 7� - c, K C )OLE!", <br /> MUM -IrTrM4 <br /> 4 I t 3 o )c N OT INTAC t <br /> X K <br /> S AtIJ 1 C1 K �"j f�a '( C Ul F LRAI�,R °C <br /> 6 "(y lZ X +� }� <br /> 11-6 <br /> 7 rnw--I` lo<f$ 7` L Y. x X <br /> 8 $ 1 t �t D Hoar—> <br /> 9 <br /> 10 <br /> Sampler's Name � #4.CK.K a. � Relinquished By I Affiliation 4iate ITime cce /Affiliation ate I rme <br /> Sam ler'sCom any ' .xCrf[�vl' �: c-u3SU <br /> Shipment Date J-e�r ' �Zr�r.3 OQ� <br /> Shipment Method <br /> Shipment TrackinE No <br /> rectal instructions, Address Invoice to BPIGEM but send to URS for apuroval -If total lead value is>50 analyze for lead by STLC,valise is>5 analvze for lead by TCI,P <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS �T <br /> ustody Seals In Place YesNo Temperature Blank Yeses No Cooler Temperature on Receipt of/C Trip Blank Yes No <br /> Distribution Whit,.Cop,,-1 aboratorr I Yellow Copy-1311rGEM /Puik.Copy-Consultant/Contractor BP COC Rev I 7JS102 <br />