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�T Paged,of <br /> 4- Chain of Custody Ree9rd it <br /> Project Name On-site Time Tem <br /> BP BU/GEM CO Portfolio: Off-site Time. Tem <br /> BP Laboratory Contract Number: <br /> ConditionsMeteoroloCConditions <br /> ,cal Events <br /> - <br /> Date: CJ <br /> Date: C Z Requested Due Date(modsldlyy) winds eed• <br /> Direction <br /> ,nd To: BP/GEM Facility No rMail. <br /> sultant/Contractor URS <br /> ib Tame SEQUOIA SP/GEM FacilityAddress 1469 E HAMMER LANE,STOCKTON,CA ress 2870 GatewayOaks Or;Ste 300 <br /> 5833 <br /> [b Address 865 Jarvis Or Site ID No 11191 Sacramento, CA 9ks D <br /> Morgan Hilt, CA 85037 Site Lad EDD denise es urscor cam <br /> ItforntaGloballD# nsultant/ContractorProjectNn 021oll" 2- <br /> b PM Latpri a Pelt BPIGEfvf PM Contact: Scott Hootonansultant Tele/Fax 916-679-23871916-679-2900 <br /> le/Fax 408-776-96001408-782-6308 Address Gonsultant/Conttactor PM VERN ELARTH <br /> ort T e$ C Level Send EDF Reports nvolce to ConsultanilCgntiuct9r ar PIGENi { ¢cicane) <br /> '/G£M Account Na X400-6-3I I?4 ele(Fax SPIGEM Work Release No <br /> b Bottle Order No Matrix Preservatives, Requested Analysts <br /> LU <br /> w <br /> [y c n <br /> U p b <br /> Tl O •^• N Q <br /> 'M No. Sample Description Time � Laboratory No US <br /> P= 'O P° Sample Point LatlLou and <br /> mN 2 d P 6 <br /> o °' � w Comments <br /> :? <br /> E L' <br /> v] v�1Q Uax x <br /> 2- IVe)cL6 <br /> 7 <br /> 9 <br /> 10 <br /> n ler's Nantes tr Rello ulslied B /Affillation ate ime &CCe ted By I Affiliation DateTIme <br /> n ler's Cam au d f U <br /> ment Date <br /> meat Method <br /> ment Tracking No <br /> 'ctal instructions. Address invoice to BPIGENJ but send to URS for approval <br /> itady Seals Tu Place Yes No Temperature Blank Yes Na Cooler Temperature on Receipt °F/C Tnp Blank Yes No <br /> Distnlnition White Copy-LaboraloryI Yellow Copy-BP/GEM /Pink Copy-Consultani/Conlractor ar COC Rev t 2151132 <br />