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Chain of Custody *-,,Ord!" On-site Time: Temp: <br /> Project Name A Ve Off-site Time: Temp: <br /> BP BU/GEM CO Portfolio: SkyConditions: <br /> BP Laboratory Contract Number: Meteorological Events: <br /> -7 Wind Speed: <br /> Date: Requested Due Date(mm/dd/yy) Direction: <br /> 'Send To: BP/GEM Facility No.: 11�" Consultant/Contractor: <br /> Lab Name: <br /> f,�4 BP/GEM Facility Address: I 2� 4, Address: <br /> Lab Address: 7 Site ID No, <br /> Site Lataong: e-mail EDD: <br /> California Global ID 4: _,??t z 27'7 T-c,i 7; Consultant/Contractor Project No.: <br /> Lab PM: 13P/GEM PM Contact: Consultant/Contractor Tele/Fax: <br /> Tele/Fax: Address: Consultant/Contractor PM: <br /> Report Type&QC Level: Invoice to: Consultant/Contractor or'153P_IGIW(Circle one) <br /> BP/GEM Account No.: Tele/Fax: 11BP/GEM Work Release No: <br /> Lab Bottle Order No: Matrix Preservatives Requested Analysis <br /> Item Sample Description Time Laboratory No Sample Point Lat/Long and <br /> No. <br /> 00 Comments <br /> 00 00 <br /> V 1H 0 <br /> LnU <br /> QN, <br /> 4, <br /> Hl <br /> 4 i4l RAF? N <br /> 5 Ak fv <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> to IF <br /> Sampler's Name: Relinquished 1i'y Affilintion DateT4hne #ccepted By I A <br /> Sampler's Company: <br /> Shipment Date: /19 <br /> Shipment Method: '�J vitail <br /> Shipment Tracking No: <br /> Special Instructions: <br /> Custody Seals In Place Yes No Temperature Blank Yes—No Cooley Temperature on Receipt OF/C Trip Blank Yes No >� <br /> CONSULTANT/CONTRACTOR BP COC Rev.1 215102 <br />