Laserfiche WebLink
� C Laboratory Management Program LaMP Chain of Custody Record ` ,� Page 1 of r <br /> 2h 1 1 e Id BP/ARC Project Name ARCO Service Station No._2iAVr &0&0 Req Due Date(mmlddlyy): TAT Rush TAT: YQ N�.iE <br /> 60pany — <br /> (5A BP affiliated company BPIARC Facility No: (906192ZZ Lab Work Order Number: <br /> Lab Name: Calscience Environmental Lab BP/ARC Facility Address: 85 East Louise Ave,Lathrop,CA Consultant/Contractor: Stantec Consulting Corp. <br /> Lab Address: 7440 Lincoln Way,Garden Grove,CA 92841 City,State,ZIP Code: Lathrop,CA Consultant/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 8947501 California Global ID No.: T0607700909 Consultant/Contractor 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: bDvallev(a.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: 925 275.3807 N Standard X <br /> au <br /> T <br /> EBM Email Sergio.morescalichi(d)bD.Com t2 Q Full Data Package <br /> U <br /> m � <br /> N <br /> O <br /> Lab <br /> o w O v <br /> No. Sample Description Date Time v c a d a Comments <br /> 0. Z w X o <br /> o J n <br /> rn � �, p HNote:If sample not collected,indicate"No <br /> N y a o Sample"in comments and single-strike out <br /> .o ioo c W �D and initial any preprinted sample description. <br /> rn 3 ¢ r D m <br /> A 3 c D 12 I to �-e <br /> 2 ' <br /> 3 <br /> 4 hJ�J We, t <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Sampler's Name. Thomas Walsh Relinquished By/Affiliation Date Time cepted By/Affiliation Date Time <br /> Sampler's Company: Stantec Consulting IZ I O iD 77 <br /> Shipment Method GSO Ship Date: CD <br /> Shipment Tracking No: <br /> Special Instructions: OXYs:MTBE,TBA,DIPS,ETRE,TAME,ethanol ly�Q ✓vl (� r�01 <br /> THIS LINE-LAB USE ONLY: Custody Seals In Place:Yes/No I Temp Blank:Yes/No Cooler Temp on Receipt, °F/C I Trip Blank:Yes/No I MS/MSD Sample Submitted:Yes/No <br /> BPIARC LaMP COC Rev.6 01101/2009 <br />