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of_� <br /> tlQCCI7P� -s:te Time Tern <br /> Chain of Custody <br /> Project Name =sire Time Temp <br /> j <br /> ° ry BP BU/GEM CO Portfolio: ' �� ky�at�s 7 0 <br /> BP Laboratory Contract Number: eteorologtca!UVMts <br /> Date: 6 - 27 -02- Requested Due Date(mm/dd/yy) 71-/2 - O 2 wind 5 L7,recucu: <br /> Send To: P/GEM Facility No onsultantlContractor <br /> Lab Name q ` P/GEM Facile Address 41,00 O 0 <br /> Lab Address Site ID No h M <br /> to Lat/Long -mail IDD d Co A <br /> aMfotnia Global ID# 7- Q ousaltant/ContractorPro No M&mMov <br /> Lab PM IGEM PM Contact st V onsultant/Contractor Tele/Fax p / d <br /> Tele/Fax Bar 6-5-!41 onsultant/Contractor PM <br /> Report Type&QC Level I y O voice to Consultant/Contractor BP/G (C a one) <br /> BP/GEM Account No ele/Fax 9 Z - 2917 - STU P/GEM Work Release No Z o6017 <br /> Lab Bottle Order No Matrix Preservatives Requested Analyd2 <br /> Item y c N Sample Point Lat/Long and <br /> No Sample Description Time d g Laboratory No ,� N N comments <br /> 92 <br /> i; o u Q <br /> 3 W z a x m as <br /> IMW-7. SQ ' -1-<,30 05A IA ODA <br /> 2 �S' JS.yt7 <br /> 6 MI <br /> 4 MW-9- 65" L; v OGA <br /> s i�1- �za OXIX <br /> D 60 ' W3o <br /> s n - 69 ' �z• a9A i <br /> 9PAW-22� <br /> to W- 13,0 <br /> Sampler's Name } Retlngalshed Sy tion to Ime Wd By 1 A�dw is be <br /> Sam ices Com y . (d/e C <br /> Shipment Date � - D Z <br /> Slu Ment Method ' <br /> Shipment Tracking No <br /> Special Instructions. <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt °FIC Tnp Blank Yes No— <br /> LABCRATORY BP COC Rev 1 215!02 <br />