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of <br /> Chain of Custody Rord On-site Time Temp s <br /> PProject Name I f (fes _! ' V Lt _ Off site Time Temp, <br /> BP BU/GLM CO Porttolio: Sky Conditions <br /> BP Laboratoi y Contract Number. Metcorological Events <br /> Date. l_Z f `a2, Requested Due Date(tnni/dd/yy) ,�, f J¢� Wind Speed Direction <br /> Send To- BP/GEM Facility No 0C-> Consultant/Contractor C1 5 e.S <br /> Lab Name l¢ BP/GEM Facility Address 26771 Address <br /> Lab Address Site ID No 00 fs� <br /> Site Lat/` ong a-inail EDD <br /> California Global ID H-TO Consultant/Contractor Project No <br /> Lab PM BP/GEM PM Contact Consultant/Contractor Tele/Fax <br /> lele/Fax Address Consultant/Contractor PM <br /> Report Type&QC Level invoice to Consultant/Contractor or( one) <br /> BP/GEM Account No Tele/Fax BP/GTM Work Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> Sample Point Lat/Loong and <br /> Item Sample Description Zime d y Laboratory No 0 o Comments <br /> No o L-a w �' 00 00 O\ <br /> in o o 0 <br /> 0 b �. 0 a (") <br /> 00) <br /> 3 z x <br /> X 622W-0 4 <br /> a Kv- � <br /> 3 VW <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> IO <br /> eNae i Date rimeaedSamplRe h d 28 MntBy/Affiliation _ Date Time <br /> Sampler's Company flv ' lo2 <br /> TTI <br /> Shipment Date �p <br /> Shipment Method �„R ij <br /> Shipment Tracking No <br /> Special Instruchow <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt 2.i AWC Tnp Blank Yes No <br /> LABORATORY BP COC Rev 1 215102 v� <br />