Laserfiche WebLink
of <br /> Chain of Custody to-Cord On-site Time: Ternp: <br /> Project Name Off-site Time: Temp: <br /> BP BU/GEM CO Portfolio: Sky Conditions: <br /> BP Laboratory Contract Number: <br /> Meteorological Events: <br /> Date: Requested Due Date(mm/dd/yy) Pind Speed: Direction: <br /> Send To: BP/GEM Facility No.: 'ii 14 Consultant/Contractor: <br /> Lab Name BP/GEM Facility Address: Address: <br /> Lab Address: Site ID No. ?f 4,-;5 <br /> Site Lat/Long; e-mail EDD: <br /> California Global ID#: I fAIP-7 Consultant/Contractor Project No.: <br /> Lab PM: 13P/GEM PM Contact: C"r, Consultant/Contractor Tele/Fax: q;,j:> <br /> Tele/Fax: Address: Consultant/Conlractor PM: <br /> Report Type&QC Level: Invoice to: Consultant/Contractor orJ9ftEM'- <br /> 4 (Circle one) <br /> 13P/GEM Account No.: Tele/Fax: _H13P/GEM Work Release No: <br /> Lab Bottle Order No: Matrix Preservatives Requested Analysis <br /> ti <br /> ItemV <br /> Time -5 Sample Point Lat/Long and <br /> Sample Description 0. <br /> No. .6 Laboratory N <br /> 00 <br /> Comments <br /> 'rd 0 <br /> S00 00 <br /> O 2 <br /> 4 <br /> 5 V <br /> 6 14- <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> qarnei lit I j f Relinquished By Affiliation Date ime ccepted By I A <br /> Sampler's Company: <br /> Shipment Date: _ILL <br /> Shipment Method: <br /> Shipment Tracking No: <br /> Special Instructions: <br /> Custody Seals In Place Yes No Temperature Blank Yes—No Cooler Temperature on Receipt "F/C Trip Blank Yes No <br /> CONSULTANTICONTRAM—OR SP COC Rev.1 215102 <br />