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IN <br /> \ Chain of Custody Record Page'of <br /> pProject Name: _ARCO 548 Quarterly Monitoring I O&M On-site Time: (� tra r Temp: <br /> •�� Obp BP BUTAR Regiiotl/Enfos Segment: BP>Americas>West Coast>Retail>WCBU>CA Off-site "Fine: $ Tern <br /> >Central>548>HistosicalBL Sky Conditions: ' <br /> State or Lead Regulatory Agency: San Joaquin County Environmental Management Dept. leteorological Events: <br /> Requested Due Date(mm/dd/yy): Wind Speed: '& Direction: �I <br /> Lab Name:Sequoia P/AR Facility No.: 548 Consultant/Contmctor: URS <br /> Address: 1455 N.Mcf)owell Blvd.,Suite D BWAR Facility Address: 1612'W.Hammer Lane,Stockton,CA 95209 Address: 2870 Gateway Oaks Drive,Suite 300 <br /> Petaluma,CA 94954 Site Lat/Lon : NIA Sacramento,CA 95833 <br /> Lab PM:Robert Butler California Global ID No.: 70607700134 Consultant/Contractor Pm'ect No.: 38466402 <br /> I'ele/Fax:707.792.1865/707.792.0342 Enfos Project No_: G09JZ-0037 Consultant/Contractor PM: Vernon Elarth <br /> BWAR PM Contact:Paul Supple Provision or RCOP: Provision "fele/Fax: 916.717.5045/916.679.2900 <br /> Address:P_U.Box 6549 Phase/WBS: 03-Operation.and Maintenance Re ort 1'y &QC Level: level I willr EDF <br /> Mora a,CA 94570 Sub Phase/Task: 03-Analytical E-mail EDD To: Denise Yee mursco .cum <br /> teie/Fax:925.299.8891/925.299.8872 Cost Element 05-Subcontracted Costs nv�oice to: Atlantic Richfield Company <br /> Lab Bottle Order No: Matrix Preservative Requested Analysis <br /> g <br /> Q <br /> n v <br /> Itemv o � -I,- � Sample Point L.aUi.ong and <br /> Sample Description R ? Laboratory No. v ,y Continents <br /> Ne. a a U <br /> L a C o N <br /> o" -� <br /> 3 ¢ l� <br /> 1 i //e,y X �( x <br /> 2 <br /> 3 <br /> 5 .'s <br /> 6 <br /> 7 <br /> .,,' .�. <br /> 9 <br /> f0 <br /> Santplet's Name: Relinquished By 1 Affiliation Date Time ted By 1 Affiliation fJatc Sime <br /> s <br /> Sans ler's Com art : <br /> Shi ment Date: /,-L -- 7.-;L e> t Z <br /> Shi meat Method: 5 f u <br /> Stu mens 7rackinz No: <br /> S eciat instructions: <br /> Custody Seals 1n Place Yes No TemR Blank Yes No Cooler Temperature on Receipt OF/C Trip Blank Yes No <br /> .,:.._:L...; ... u:i..T.r,,,,,,,-i nhnrntnry I Yellow CODv-BRIAtlantic Richfield Co. I Pink Copy-Consultant/Contractor RP COC Rev.4 1011!44 <br />