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Page Ot <br /> Ila tic Laboratory Management Program LaMP Chain of Custody Record +t�- t <br /> ighTield2 <br /> company BP/ARC Project Name ARCO Service Station No.T1111NIV (o 02 0 Req Due Date(mm/dd/yy): Rush TAT: Yes No Z <br /> /yA BP affiliated company BP/ARC Facility No: �0 t�tib Lab Work Order Number: <br /> i.,,I _ <br /> Lab Name: Calscience Environmental Lab BP/ARC Facility Address: 85 East Louise Ave,Lathrop,CA Cons ultant/Contractor: Stantec Consulting Corp. <br /> Lab Address: 7440 Lincoln Way,Garden Grove,CA 92841 City,State,ZIP Code: Lathrop,CA Cons ultant/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: bpvalley@stantec.com <br /> Stantec.com <br /> Other Info -- Stage Acbvity: Invoice To: BP/ARC X Contractor <br /> BP/ARC EBM: Sergio Morescalchi Matrix No.Containers 1 Preservative Requested Analyses Report Type&QC Level <br /> EBM Phone: 925 275.3807 N Standard <br /> m <br /> T <br /> EBM Email: ser910.moreSCalchl(d�bycorn ¢ Full Data Package - <br /> C U <br /> m _ D <br /> 0 N <br /> U � <br /> 6 Co <br /> Lab s w <br /> No Sample Description Date Time � a N Comments <br /> 0 Z m w, XO Note:If sample not wllected,indicate"No <br /> a� _> T Sample"in comments and single-strike out <br /> o <br /> a o 0 W and initial any preprinted sample description. <br /> m Q O m <br /> 1 P- -z 1116 1 u <br /> l2 D- -30 <br /> j3 ??v <br /> _ 7 O <br /> 14 - 10- 2.5 �3SZ7 t <br /> 15 v <br /> 6 CEL Ig rb `b (F Wk_ <br /> 7 <br /> 8 <br /> 9 <br /> 10 iLL <br /> Sampler's Name: Thomas Walsh Relinquished By/Affiliation Date Time ccepted By/Affiliation rl <br /> Time <br /> Sampler's Company: Stantec Consulting N1R ,J 3� 1tu <br /> Shipment Method: GSO Ship Date t2/8 C <br /> Shipment Tracking No: 00 <br /> Special Instructions: OXYs:MTBE.TBA,DIPE,ETBE,TAME,ethanol yh a I`a'n• <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 1 No MS/MSD Sample Submitted:Yes/No <br /> BPIARC LaMP COC Rev.6 01/0112009 <br />