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Chain of Cu dylecord � <br /> ` Get Name �� , On-site Time 'Temp <br /> i _ �� Off-site Time Temp <br /> 1 U/GCM CC ori#alio: Atlantic Richfield Company sk Conditions <br /> ondttions <br /> / VD� BP Labot atoi y Contract Numbe) Meteorological Events <br /> Date Requested Due Date(ntmAlll/yy) Standai(I TAT Wind Speech Direction <br /> 5cgc1 To 13P/GFMFacilityNo Consultant/Contrac,tor Stratus Environmental,Inc <br /> Laic Niime Sequoia Analytical BP/GEM Facility Address <br /> Lab Adcliess 1455 McDowell Boulevard, k� Address 3330 Cameroii Parli l)i iyc,Suite 550 <br /> Site ID No Cameron Park, California <br /> North,Suite D Site Lat/Long a-inall EDD Cicwttt a stn atuinc net <br /> Petaluma, California 94954 California Global ID# Consultant/Contractor Project No <br /> Lab PM Angcice Cat i i3P/GL+M PM C ntacr, `La+ <br /> Tele/Fax 707 792 1865 707 792 0342 ` C`onsultant/Contractor fele/1'ax (530)676-6004(5 0)676 6005 <br /> ( ) ( ) Address <br /> Report Type&QC Level 1 aA Consultant/Contractor PM Jay Johnson <br /> BP/G7:Ivl Account No C Tele/Fax Invoice to Consultant/Contractor or P/Gl3h Circle one) <br /> Work Release No <br /> M <br /> Lab Bottle Order No Matrix Presen vatives <br /> 13I'/GI; <br /> Requested Analysis <br /> Item 11� <br /> No Sample Destt►phnu Time o Laboratory No o x n Sallople Point Lat/Long and <br /> j N v 00 <br /> N <br /> c O p 00 `x Comments <br /> ISO V3 <br /> I mw• OW b x <br /> 2 097 <br /> 3 <br /> 4 W-1 <br /> s dam' � l�l5 Ar <br /> 6 �w•r d� b <br /> 7 <br /> 8 ��. <br /> 9 <br /> I[) =!Gr• <br /> Sampler's Nam p l Rei Estie 1 <br /> Date rime led By/Affit�a of E)afe <br /> Sans ler's Com an 5 <br /> Shipment Date Z Y <br /> Shipment Mcthod 5 <br /> Shipment Tracking No <br /> Special Instructions <br /> Custody Seals In Place Yes Jk No Tempetature Blank Yes—X No Cooler Temperatuie on Receipt °r'/C <br /> Trip Blank Yes No <br />