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. I <br /> V, Cbai<n of Custody Word On-site Time Temp <br /> tp <br /> ProjectNamle Arcv L d© a Off-site Time Temp <br /> BP BU1GENl CO Portfolio- Atlantie Richfield Company sky Conditions <br /> BP Laboratory Contract Number. Meteorological Events <br /> Date 1 D G—19 Requested Due Date(mm/dd/yy) S.andagd-IA-T Wind Speed Direction <br /> 2yhrT14� <br /> Send To- BPIGEM Facility No iw t O O Consultant/Contractor Stratus Environmental,Inc. <br /> Lab Name Sequoia Analytical BPIGEM Facility Address 77y &, ewsa.1 P ss R41 Address 3330 Cameron Park Drive,Suite 550 <br /> Lab Address 1455 McDowell Boulevard, Site ID No Cameron Park,California <br /> North,Suite D Site Lau'Long e-mail EDD elewitt@stratusinc net <br /> Petaluma,California 94954 California Global ID# 'TO6 0 7got-I `F L Consultant/Contractor Project No <br /> Lab PM BN(YEM PM Contact P&Ao-1 16 Consultani/Contractor Tele/Fax (530)676-6004(530)676 6005 <br /> Telelr'ax (707)7921865(707)792 0342 Address Consultant/Contractor PM ray Johnson <br /> Re ort T ype&QC Level 1 Invoice to Consultant/Contractor or BPIGLM (Circle one) <br /> BP/GhM Aaount No I Tele/Fax1113P/GEM Work Release No <br /> Lab Bottle Order No J Matrix Preservatives Requested Analysis <br /> '2 1 <br /> v Sample Point Lat/Long and <br /> Item Sample Description Time ° `� c LaboratoryNo CD <br /> No p p o �° 00 � Comments <br /> o <br /> 1 L ISO 1540: � ra�� Y�ioli-r-o( 1 � <br /> 3 <br /> 5 <br /> 5 <br /> 7 <br /> 9 <br /> 10 <br /> Sampler's Name D „�, Reli g lied By!Af atio Date ince ceep d By 1 ffiliatio Date ime <br /> Sam ler's Coffin11 <br /> M 7J <br /> any 6 7e 7 C17 <br /> Shipment Date J D••�-� !f � �.�;��:�� ! a 1 <br /> an � <br /> Shipment MethodAl.see x <br /> Shipment Tracking No <br /> Special Instructions <br /> Custody Seals In Place Yes No WyYY Temperature Blank Yes_ No'& Cooler Temperature on Receipt °FIC Trip Blank Yes N <br /> Distribution White Copy-Laboiatory 1 Yellow Copy-BP/GEM 1 Pink.Copy-ConsultanUContractor BP COC Rev 1 215/02 <br />