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an Francisco -0ff Ip '0/ Conoco! ips Chain Of Custody Record (o <br /> / <br /> ConocoPhilli s Site Manager P 9 ConacoPhillips Work Ordor Nurnbar u <br /> 1220 Quarry Lane INVOICE REMITTANCE ADDRESS z�) � C 506 <br /> CONOCOPHILt-IPS DATE <br /> Pleasanton, CA 94566 Attn Dee Hutchinson3611 South ChrioaoPhiiTttss Cost ahject` <br /> (925)484-1919 (925)484-1096 fax Santa Ana,CA Harbor,04 Suite 200 '` PAGE i of <br /> TRC SAMPLINO COMPANY Valid Value ID CONOC��Up SITE NUMBER OL671 -r06 () 770 <br /> ��L () 7 7 0 o628 <br /> ADORES$ SITE ADDRESS(street and City) CONOCOPHILLIPS SITE MANAGER <br /> j 21 Technology Drive,Irvine CA 926113 806 <br /> PROJECT CONTACT tHardoopy or PDF Report to) v <br /> Anfu Farfan EDF DELIVERABLE TO tRP or Deslyrree) PHONE NO r.44&tL 8 U$8 ONLY_ <br /> TELEPHONE FAX F.-MAIL Peter Thomson,TRC 949-341-7408 <br /> 949�34f 7440 949-7530111 afarfan@tresolutlons com pthomson@tresolutlons coin ' <br /> SAMPLER NAME(5)tPdnl) CONSULTANT PROJECT NUMBER <br /> Pvv,a Tenylii-'t 41OWD011FA20 REQUES'T'ED ANALYSES <br /> TURNAROUND TIME(CALENDAR DAYS) to a <br /> 13 14 DAYS [] 7 HAYS [] 72 HOURS [3 48 HOURS [324 HOURS 0 LESS THAN 24 HOURS o is o W <br /> C <br /> x x' o a FIELD NOTES <br /> SPECIAL INSTRUCTIONS OR NOTES CHECK BOX IF EDD IS NEEDED 2UJ O o FW- L3 � W <br /> �_ U In m V > Container/Preservative <br /> X X 0 .0 p1 -1 ry or PID Readings <br /> W w <br /> ro > h 2L F- <br /> x F m W r m F U) {l t or Laboratory Notes <br /> LLI tp <br /> Z al rn M CO cn 4) m 49 � ,LA <br /> >, E N c O <br /> IL <br /> H H G ti m b :t— % r <br /> "Field Point name on required If different from Sam le ID v <br /> 10amp a en Ica on le Point SAMPLING NO OF rn C C C E 0 I'- <br /> 3 Q. L{.L�d TEMPERATURE ON RECEIPT C- <br /> 10 <br /> MATRIX CONT o N N C N O W <br /> o�Ly Namea oAr TIME m m + m Do to <br /> Mw. $- lip C, 3 x X <br /> Mw'Z 1y41 <br /> Mir-3 133` <br /> T LS FR <br /> 1 <br /> �w-6 <br /> I <br /> `. Mw- 9 <br /> 1 11127 <br /> 'YY M%f-7 1255 <br /> I— Rebnqu b nater Received by Signahr Date Time <br /> ('dj 1906 <br /> Rebng7shed by(Signature) Reor ed by(signs ) Dale Time <br /> lr�4 <br /> r) <br /> R nq Ly( pn e) Received gnaLue) !� <br /> Da Time <br /> 9118!63 Revision <br />