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'dips Chain Of Custody Record <br /> Fra i -05 >onoco ,.:: _. <br /> / ConocaPhillips Site Manager; - <br /> 1220 Quarry Lane INVOICE REMITTANCE ADDRESS: <br /> COfiOCOPHILL[PS 7 DATE: � C <br /> Pleasanton, CA 94566 Attn; Dee Hutchinson uloY, <br /> Cctn� PL4i�1�Qsr3 � t_ <br /> 3611 South Harbor,Suite 200 ? ,+��... ::.: �,-::�...3. , ,.. � PAGE:�_ of <br /> (925)484-1919 (925)484-1096 fax Santa Ana,CA. 92704 <br /> SAMPLI NO COMPANY: Valid Value t0: CO N OCO PHILLIPS SITE NUM13ER GLOBAL 10 NO,: <br /> TRC "]� 67 <br /> ADDRESS; SITE ADDRESS(Strad and City): CO NOLO PHI L UPS S1TE MANAGER: <br /> 21 Technology Drive,Irvine CA 92618 / / J� <br /> PROJECT CONTACT(Hardeopy or PDF Report tol: <br /> An u Farfan EOFDELIVERABLETO(R or Design"): PHONENO.! E."I.; <br /> J �4a usE a�rir <br /> TELEPHONE: FAX: EMAIL: Peter Thomson,TRC 949-341-7408 <br /> 949-341-7440 949-753-0111 afarfan@tresolutions.com pthomson@tircsolutions.com <br /> SAMPLER NAMES)(Print): CONSULTANT PROJECT NUMBER <br /> 4105001)11FA20 REQUESTED ANALYSES <br /> TURN OUND TIME(CALENDAR DAYS): h <br /> 14 DAYS [] 7 DAYS C] 72 HOURS [3 48 HOURS 0 24 HOUR5 0 LESS THAN 24 HOURS a e° d <br /> dl <br /> N <br /> X o F FIELD NOTES: <br /> SPECIAL INSTRUCTIONS OR NOTES: CHECK BOX IF EDD IS NEEDED ja m W D 0 : Q <br /> a m m m N ,� Contalner[Preservative <br /> u X x O .. m T F or PID Readings <br /> �Z wLU N - <br /> Lu F- F m 4 a. y or Laboratory Notes <br /> LU r m m t^ ° is p ~ ❑ <br /> in <br /> Na a. a 0 arc (b c F <br /> � I- t- c LL o H w p <br /> *Field Point name onl re wired if different from Sam le IO E m m r m v U <br /> Sample en 11Ga IOn le Point SAMPLING No.OF _ c o o w o o tri `ia TEMPERATURE ON RECEIPT C° <br /> MATRIX 0 m to ttl E � q r� iE <br /> i; Name* DATE TIME °OHT' aoo CNC m m + o .5 m m -J <br /> 11916 r�lll <br /> Rellnquished by,(Slgnalw.) Received y:(5lgnatwe) Oak Time: <br /> aco <br /> Re qulshed hy:(Signalu ) Received by:(S lignature} - Dale,'Tlmel <br /> Relinquished by-(Slgnature) Received by:(51gn - D 7pme1:/J <br /> gl79I03 RuvWon <br />