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i Q'r►(0?A -124s(,--1 Page Z of <br /> ' � <br /> w a Chain of Custody RcZ rd On-site Time Tern <br /> r Project Name 11194 GW MonitoringOff-site Time Tem <br /> 13P BUfGEN1 CO Portfolio- Retail Sky Conditions <br /> CSG&- <br /> BP Laboratoi) Contract Nf unlbcr. Atlantic Richfield Co. Netcoro.lo ical Events t'/'vwf <br /> Date !L44-410 Requested Due Date(mmlddlyy) Wind Speed lI Direction G� f <br /> Send To P/GEM Faci I q No 11194 Consultant/Contractor URS <br /> ,ab Name SEQUOIA BP/GEM Facilit Address 2375 TRACY BLVD ,TRACY CA Address 2870 Gateway Oaks Or, Ste 300 <br /> Lab Address 1455N McDowell Blvd Suite D Site ID No 11194 Sacramento, CA 95833 <br /> Petaluma, CA 94954 Site Lai/Lon e-mail EDD denise_yee@urscorp corn <br /> alifornia Global ID# T0607700011 Consultant/Contractor Project No <br /> Lab PM An elee CanBP/GEM PM Contact PAUL SUPPLE Consultant Tele/Fax 916-679-23871916 679-2900 <br /> Tele/Fax 707-792-18651707-792-0342 Address P O Box 6549 Consultant/ContractorPM VERN E <br /> Report Type&QC Level Send LDF Reports Mora a, CA 94570 Invoice to Consulta +«le one} <br /> BF11GEM Account No 400-6-21124Tele/Fax 925-299-88911925-299-8872 1LBPfGEM Work Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> o m <br /> 73 <br /> Sample Point Lat/Long and <br /> Item No Sample Description Time -2 7 Laboratory No m cc p < < Comments <br /> y goy ti Q �Qj 4. <br /> I n�►,,�-g 1k a S X 2-- 1G G X <br /> 2 +i•�•�-K t S 3� 1 L y-, <br /> 3 µw-.L 1 K <br /> 4 PAW-6— 1 V IL� <br /> 5 1*-11t'44-1OtA OlN Raut> <br /> 6 -1 <br /> 7 LWJ LEI CL ICr r� <br /> 8O1Y <br /> 9 <br /> 10 <br /> Sam ler's Name wo"�— Relinquished By/Affiliation ate ime c e B I AM istion Date ime <br /> Sampler's Cornpan 15(c,:nL r ecx iw � 0 <br /> ~ —6 7 i0.10 <br /> Slu meet Date - -d3 O -z t o 3 <br /> 51 <br /> Shi anent Method L- 1 <br /> Sf11 meat Tracl.m Na 0� <br /> pedal Instructions Address Invoice to BP/GEM but send to URS for avi)roval - o a lead value is: ead by SILC valise is>5 analyze for lead by TCLP <br /> _ RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> Custody Seals In Place Yes No Temperature Blank Yeses No Cooler Temperature on Receipt °FIC Trip l3lanl.Yes _No <br /> Distribution Whit,Copy -Laboratory i Yeflul%Copy-8PrGEM t fink Copy-Consultant,'Untruutcr BP COC Rev 1 215102 <br />