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G ' I <br /> I ! <br /> Page_30f_3 <br /> bp <br /> Chain of Custody Record it-site TI01,fttnp <br /> 1'l�ject Nanm 3t Groundwater Sampling Event Off-site in site MalTe . <br /> BPB UNI C� o-t o o: Sky Condlttons <br /> 0BP'Lbormiory Contract Number- '' Meteomlog cal Evcnte <br /> Date: ?-iceI Requested Aue'Date (mm/dd/ *W* ►Vtnd s eed- Direction- 11 , <br /> I iI <br /> IT ' <br /> Send To, I HP{CEil1 Facility No ARCD Station 695 Consultant/Con(eautor SECOR <br /> lab}Fame: SFKUOIA ANALYTICAL P OEM FacilllyArtdress:0110O N. Hwy 99, Stockton AdrJrEZs 3417 Kil are Rd:. Ste. 100 <br /> l.al)Address 819 Striker Ave I Site ID No I 1; Rancho Cordova,;CA 95670 <br /> #3aoramentn. CA DISS34 sfte la[{i.on !; `' a-mall EDD, P.Itarrns@seaor.com <br /> Callfontia rtlobal 113T(1807700319 Consult int/Contractor Prolcet NG.: <br /> Lab PM- Ron Babel 9p/GEm Pili1ContaCt 1paul stipple tkrresultm�l/CnnlractnrTcic/F`. : 916.861.0434 <br /> Telt/Flax: 016.021.0640 Address P.0 Box 0249 Consultant/Contractor PM.1'R Benkosky <br /> Ile r#Type&QC Llrvel ,l Moraga, CA 94574 Intoice to Consultant/Contrattoror BP/GEM (Mole) <br /> DPfGEM Acmunt ilio• Work Release No ,28875 <br /> I.abAot(k0rderNa ;Mata► i rrtserrstti'm Requested Amalysk f � <br /> W <br /> lNo $ample.Aaseription Time � aboratolty Na x, 1; Samplo Poiret Lat/Loeb;and Commonts <br /> 4d 9 0 73 <br /> o a <br /> b <br /> 1 DW.1 I x i <br /> Iit�f-2 x �� ��I x <br /> ' x <br /> 4 I 1� li <br /> i I h <br /> I <br /> . 14 it:l''L�i hTalnc• I 1i,.lits uish,ed By ,A11111at oor Time cc Cad By{ Atli to. � e <br /> Stu ezxt Date. -a I q �i' <br /> She meet Method- <br /> 5111 finetlt'in.Cking No. , <br /> t3pealal Yr�strnatiorsss E - .. <br /> Custody Seals In Pince Yes, No Tent)erattire 131'a Ilk Yrs leo Caoiei Tempetatusc rn1 RTrjp 13iarjlc Yes Na <br /> MsMbutirsa Whits:Copy-Laboratory!Yellow Copy-BP/CIEM )Pink Copy-C_onsult.^uontrlmor Br COC Iter 1 AF.V02 - <br /> d = <br /> i t <br />