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rage__ F OL <br /> bpChain of Custod��2cord on-site Time hemp = <br /> Project Name e- 6100 fr site Tune Temp, <br /> i3P BU/GPM CO Portfolio: "�`�`" p <br /> /�, ,�7 � l3P Laboratory Contract Number: Sky Conditions . . <br /> Date C��" v ! — eteorological Events <br /> Requested Due Date(mm/ddlyy) Wind Speed Direction <br /> Send To P/GEM Facility No <br /> onsultant/Contractor <br /> l ab Name P/GEM Facility Address ` yg rN ddress <br /> Lab Address I <br /> te ID No <br /> te Iat/Lang <br /> -mail EDD <br /> alifornia Global ID# (? �� Consultant/Contraetor Project No f CA—> <br /> Lab FM P/GFM PM Contact Q <br /> Tele/Fax $ -1-mail <br /> Tele/Fax 12L- <br /> ddiess onsultant/Contractor PM <br /> Report Type&QC Level c <br /> Invoice to Consultant/Contractor or BP/GEM (Circle ane) <br /> BP/GEM Account No Tele/Fax <br /> Lab Battle Order No Matrix BP/GEM Work Release No <br /> Preservatives Requested Analysis <br /> Item v _ <br /> No Sample Description rime 11 w Laboratory No o N o o Sample Point Let/Long and <br /> C) �o n `r <br /> a o 00 00 "1 Comments <br /> �Q <br /> f% Cn <br /> �+. Fti H Wn Hti �i W W <br /> 1 lt/•Z, <br /> 3 Vv- <br /> 4 <br /> s <br /> 6 f <br /> 7 <br /> cros 8 0 ' <br /> 9 <br /> 10 <br /> Safiipler'SName y�!` R uin I don Date rune#.4n Dste rimeSainpler's Company 'rw fyi <br /> Shipment Date <br /> Slupinelit Method 5ykv,,IW3 <br /> Shipment rracking No <br /> Special Instructions <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt "FIC <br /> Trip Blank Yes N <br /> t_ABORATORY BP COC Rev 1 2/5102 <br /> I <br /> I <br />