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rdgc__ s ui_l_ <br /> �y Chain of Custody word on-site Tune Temp <br /> NProject Name 6/00 ore site Time Temp <br /> Ot BP BU/GUM CO Portfolio: Sky Conditions ' <br /> !� Ill' Laboratory Contract Number- Meteorological Events <br /> Date. I(/ Jam` Requested Due Date(mm/dd/yy) Wold Speed Direction <br /> Send To13P/GEM Facile No <br /> �' �V d Consultant/ContraCtor w f <br /> Lab Name L,G[� P/GEM Facility Address s,, d ss -33 e7 <br /> Lab Address Site 1D No (0 1117 <br /> Site Lat/Long -mail EDD <br /> alifornia Global ID 0 /7 (� 00 112 Consultant/Contrartor Protect No V,01 V <br /> La a PM PIGEM PM ContactConsultant/Conttactor TeleiTax <br /> fele/F Address Consultattt/Contraclor PM o Pfjo fz, <br /> BP/GEM Account <br /> lie taut I ype & iLevel Invoice to Consullant/Coniractor or BP/GEM (Circle one) <br /> t No Tele/Fax BP/GEM Work Release No <br /> lab Bottle Order No Matrix Preservatives Requested Apalylls <br /> �i <br /> b <br /> I ; <br /> NoSample Description ritue o Laboratory No N '� `, Sample Point Lai/Long and <br /> r u ' Comments <br /> o <br /> a. 0 CY �7 <br /> av t, ms1d+. <br /> at2 <br /> 3 Lld <br /> U.4 <br /> -60 �1 <br /> S <br /> s ra r <br /> 8 CCCDHs Lul=r <br /> C/ifS 0260 ) <br /> 9 <br /> la <br /> Sampler's NameBy/ Date tau cceptedBy! tion Date Time <br /> Sampler's Company <br /> Shipment Date ; V1 � — I _ V <br /> Shipment Method <br /> Shipment Tracking No <br /> Speuai Instructions <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt °FIC Trip Blank Yes No <br /> LABORATORY BP COC Rev 1 215102 <br />