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• • <br /> Chain o€Custody Record o�-���� �n����� s <br /> 1;' AI. ProjectN=e IG03GroundwaterSampling Event off-site -nM Temp. <br /> BP BU/G)EM COFiortfok0: Atlantic Lichfield Sky Conditions* <br /> BP Laboratory Contract Number. _'2 f _-_--- Metevrolo cal Ec ao is <br /> Date- Requeste$Dsxe pate (nate,/dd/ r) —WetW— WutdS ead DirecLian <br /> D W Nr , <br /> Send ToyF/Cry!Facllz 10: ARCO SCatzon 595 1 Consulrmt/Contractor SECOR <br /> Lab Name- SE.QV01AANALY ICA. BF/GEM Famhiy Address:6100 N.RM 99.Stockton Address 3017=gore Rd..8e. 100 <br /> Lib Add-.=s 885 Juvis Dove SAM iD�r0. R ucbo Cordova. CA 185676 <br /> Mordah HdI, C&96037 Site as 02 e-m xd EDD char:-sasecon ea- <br /> CzWomm Global M 70607740319 ConsultantlCo;itmctor Project No..77Bj P 50595.02.432 <br /> Lab PM Ron Sobel(Sacto Lab) BP/GEM P-M Contact i Paul Sud le 0onsultantlContraator Tale/F= 916.861.0430 <br /> Tale/Fac 916.921.9600 Address. P.O.Bax 6249 Consult-=VCanLMzLorPM- R Benkoft <br /> ort Type$QC Level. Mo ra .a&94570vaicc to ConsulUmtlContractor or BPIGEM (Ca+ele) <br /> BP/QEMAccountXo.- elc/F= 925.299 8891 26204 <br /> IryhBotllcQr�crlwio VJ[Rtri+[ t 1'rmryatIves RemestedAmlysis <br /> i� <br /> 11tem <br /> NoSample Description hmc ^ O borataq No x a Sam-pit Point Lat/Long and Comments <br /> G ip <br /> u <br /> x <br /> IDW-1 yMMMYY- M4. rlwVwwwwrwr------------ IMACT <br /> 2 DW-2 X l3 s X X X <br /> 3 QCTB ""' X x X X <br /> 4 <br /> 5 <br /> 6 <br /> 7 f <br /> S <br /> Sampler's Name. � a BY I lgta�+n tixnc a ted Xly{ Aa-�ae Date xir�c <br /> Vmnient <br /> Co tin^ p <br /> DateMethod:Trackag Mr44 4 atioz:s: <br /> Seats In PhimYes N041 Temperature Blank Yes No_LZCooler Temperature ati RTrip Bhu-A Yes- _Itio✓- _ <br /> 4c„ Whig,Copy-Laboratory 1 Yellow Copy-SPIGBM 1 P;Ak Copp-C:ongWtmtlCotmmr 4P c4C RAV.z 24102 <br />