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�ce <br /> Laborato Mana ement Pro ram LaMP Chain of Custod RecordPage�ofICflld rY 9 9 y Z""�i c l BP/ARC Project Name ARCO Service Station No.34i3• (.zz)Oo Req Due Date(mm/dd/yy):-Qbsw wl TAT Rush TAT: es Ne--A� <br /> company <br /> affiliated company BP/ARC Facility No: �pQ� ."24'f'� Lab Work Order Number: <br /> Lab Name: Calscience Environmental Lab BP/ARC Facility Address: 85 East Louise Ave,Lathrop,CA ConsultanVContractor: Stantec Consulting Corp. <br /> Lab Address: 7440 Lincoln Way,Garden Grove,CA 92841 City,State,ZIP Code: Lathrop,CA Consultanl/Contractor Project No: DIRECT BILL STANTEC <br /> Lab PM: Richard Villafania Lead Regulatory Agency: San Joaquin County Environmental Health Dept Address: 3017 Kilgore Rd,Ste 100,Rancho Cordova,CA 95670 <br /> Lab Phone: 714.895.5494/Fax:714.894 7501 California Global ID No.: T0607700909 Cons ultanVContractor PM Brian Westhoff <br /> Lab Shipping Accnt: -- Enfos Proposal No. DIRECT BILL STANTEC Phone: 916.861 0400 ext.270 <br /> Lab Bottle Order No. -- Accounting Mode: Provision OOC-BU OOC-RM Email EDD To: bpvalleVC&stantec.com <br /> Other Info: -- Stage: Activity: Invoice To: BP/ARC X Contractor <br /> BP/ARC EBM: Sergio Morescalchi Matrix No.Containers/Preservative Requested Analyses Report Type&QC Level <br /> EBM Phone: 925.275.3807N Standard X <br /> Co <br /> EBM Email: Ser9io.moreSCalchlCcibp.COrn 12 < Full Data Package <br /> c U <br /> g O <br /> 0 N <br /> U � <br /> Lab c : °D o <br /> Sample Description Date Time Cr <br /> � Comments <br /> O. zi <br /> b o E y W. X Note:If sample not collected,indicate"No <br /> y > Z y 0 Sample"in comments and single-strike out <br /> m 0 w and initial any prepnnted sample description. <br /> (n Q H U` m <br /> 1 15a- <br /> 2 TI - t3- tZ <br /> 3 T& C - 122 1 L033 <br /> 4 $4 - Ar - IZO <br /> 6 - C -1 12 / 0 0 <br /> 7 Tilt <br /> erl I - 13 - IZ <br /> 9 —C - t (2- <br /> 1c) <br /> Z10 1 9- 17-- '2- 1 foo <br /> Samplers Name: Thomas Walsh Relinquished By/Affiliation Date Time ccep ed By/Affiliation Date Time <br /> Sampler's Company: Stantec Consulting 2 t o <br /> Shipment Method: GSO Ship Date: Z 1 (D <br /> Shipment Tracking No: <br /> Special Instructions: OXYs:MTBE,TBA,DIVE,ETRE,TAME,ethanol ►atekµ-tA Gj1 S <br /> THIS LINE-LAB USE ONLY: Custody Seals In Place:Yes/No Temp Blank:Yes/No Cooler Temp on Receipt: 'F/C Trip Blank:Yes/No I MS/MSD Sample Submitted:Yes/No <br /> BP/ARC LaMP COC Rev.6 01/01/2009 <br />