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Ila iC Laboratory Management Program LaMP Chain of Custody Record moi,,, - �2 Page J—of 2 <br /> i Ce I d BP/ARC Project Name ARCO Service Station No.AW ry 0 r?0 Req Due Date(mm/dd/yy): &kwAar>d-TAT Rush TAT: Yes o <br /> company <br /> Q A BP affiliated company BP/ARC Facility No: Lab Work Order Number: <br /> Lab Name. Calscience Environmental Lab BP/ARC Facility Address: 85 East Louise Ave,Lathrop,CA ConsultanUContractor: Stantec Consulting Corp <br /> Lab Address: 7440 Lincoln Way,Garden Grove,CA 92841 City,State,ZIP Code: Lathrop,CA Con sullant/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 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: biwalleY(cbstantec.COm <br /> Other Into: -- 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 /> M <br /> EBM Email: sergi0.morescalchi(O)bp.Com H Full Data Package— <br /> � Q <br /> c U <br /> o <br /> !_ o N <br /> ULab Co <br /> n <br /> No. Sample Description Date Time v Cr a a Comments <br /> L o E 2 W } <br /> 0 m 3 y a p Note:If sample not collected,indicate"No <br /> v > m m n � Sample"in comments and single-strike out <br /> H c F and initial any preprinted sample description. <br /> CIO It 1 <br /> (9 m <br /> 2 <br /> 3 <br /> 4 - 3 - & <br /> 6 - - 3- <br /> 6 - H - L 1 g <br /> 7 -S -Z. 1"L 3 t4s <br /> 6 <br /> 9 <br /> to <br /> Sampler's Name: Thomas Walsh Relinquis d By/Affiliation Date Time Ac epted By/Affiliation Date Time <br /> Sampler's Company: Stantec Consultinga <br /> 33 0 v01 <br /> Shipment Method: GSO Ship Dale: 7i 8 <br /> Shipment Tracking No. <br /> Special Instructions: OXYs:MTBE.TBA.DIPS,ETBE.TAME,ethanol,, Ateka-• <br /> THIS LINE-LAB USE ONLY: Custody Seals In Place:Yes/No I Temp Blank:Yes/No I Cooler Temp on Receipt: °FIC Trip Blank:Yes/No MS/MSD Sample Submitted:Yes/No <br /> BP/ARC LaMP COC Rev.6 01101/2009 <br />