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1 v • • Page of <br /> Chain of Custody Record <br /> y On-site Time 1300 Tem 7S- <br /> Project <br /> S- <br /> Pra ect Name ARCO 6020 GW Monitoring <br /> ff-site Time J H6-�— Tem <br /> BP BU/GEM CO Portfolio. Retail Sk Conditions 6,1c4,v- <br /> BP Laboratory Contract Number Atlantic Ratehfield Co Meteorological Events Ab+ <br /> Date Requested Due Date(mmldd/yy) .ftpand S eed /VA Direction IUA <br /> end ToBP/GEM Facility No ARCO 6020 Consultant/Contractor URS <br /> Lab Name SEQUOIABP/GEM Facility Address 1711 E Yosemite Ave, MANTECA, CA Address 2870 Gateway Oaks Dr,Ste 300 <br /> Lab Address 1455 N McDowell Blvd Suite D Site ID No ARCO 6020 Sacramento, CA 95833 <br /> Petaluma,CA 94954 Site Lau Lon mail EDD devise ee ursco com <br /> alifornia Global ID# T0607700873 Consultant/Contractor Project No <br /> Lab PM An elee Can BP/GEM PM Contact PAUL SUPPLE onsuitant Tele/Fax 916-679-2387/916-679-2900 <br /> Tele/Fax 707-792-18651707-792-0342 Address P O Box 6549 Consultant/Contractor PM VERN E <br /> Report T e&!2C Level Level 1 Mora a, CA 94570 nvoice to Consultant/Contractor BP/GE ircle one) <br /> BP/GEM Account No ele/Fax 925-299-88911925-299-8872 P/GEM Work Release No Intnm-50681 <br /> Lab Bottle Order No Matrix Preservattyes Regpested Analysis <br /> i� <br /> _ o <br /> N 3 W <br /> LLt <br /> Item No Sample Description Time c Sr aboratory No Q 0O ¢ Sample Point LatlLong and <br /> i Z F F d Comments <br /> UJ 3 d Z 5 = <br /> 1 M�-9 l3S� 3 <br /> 2 w- 10 13`40 <br /> 3 4 SO�.D-0311 © — � D" oot <br /> 4 <br /> 5LEl<d UST x.Y 'r.. IN6 UQ r <br /> 3 <br /> 7 <br /> 8 B k 1 t <br /> 9 <br /> 10 <br /> Sam ler's Name ©h ReIiu B /Affiliation ate tine ted B /Afrhtin ateTime <br /> am Ier'sCom an <br /> hi ment Date 51 <br /> Slu meat Method <br /> Ipec <br /> meat Trackin No <br /> lal Instructions. Address Invoice to BP/GEM but send to for approval -If total lead value is>5©analyze for lead by STLC,value is>5 analyze for lead by TCLP <br /> RUN 8260 ANALYTES IN ONE BA CH ANALYSIS <br /> ody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt of/C Tnp Blank Yes No <br /> Distnbution White Copy-Laboratory/Yellow Copy-BP/GEM /Pink Copy-Consul=t/Contractor BP COC Rev i 715!02 <br />