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by Laboratory Management Program (LaMP) Chain of Custody Record <br /> Soil, Sediment and Groundwater Samples Page_2_ of <br /> Req Due Date(mmlddlyyi: Rush TAT Yes X No <br /> BP Facility No: ARCO No.7995 Ucx Lab Work Order Number: <br /> Lab Name: Pace National BPIARC Facility Address: 3425 Tracy Blvd North Consultant/Contractor. Antea Group <br /> Lab Address: 12065 Lebanon Road,Mt Juliet,TN 37122 City,State,ZIP Code: Tracy.CA 95376 Consultant/Contractor Project No BP M&C 2093 <br /> Lab PM: Brian Ford Lead Regulatory Agency: San Joaquin County-Enviromenlal Health Address' 11010 White Rock Rd,Suite 140,Rancho Cordova,CA 95670 <br /> Lab Phone: 615-773-9772 Department Consuttant/Contractor PM: Brad Jackson <br /> Lab Shipping Accnt: Phone 971-777-0241 Email: Brad.Jackson aaAnfeaGroup_us <br /> Lab Bottle Order No: send/Submit EDD to: Brad Jackson,Antea Group <br /> Other Info: ANTEARCCA-2093 I Invoice To: Antea Group <br /> BP PM: Grift V1filliamscn Requested Analyses Report Type&QC Level <br /> PM Phone: 805-794-6847 Filtered(Y>NI N N N N N Limited(Standard)Package 1_ <br /> PM Email: griffe T',Son@bp.corn Preservation N N N N N Limited Plus Package— <br /> _p Full Package— <br /> w w <br /> y c a <br /> a m O U� <br /> c ui O o o_ <br /> ' m <br /> Lab Unique Sample ID,must follow format of a u - <br /> COMP NUMBER YYYYMMDD Example: Time o m m m 0_ <br /> No. – u a o o M W Comments <br /> COMP_I_20220608 Y n ry to ty <br /> o E m a <br /> c a v <br /> 0 ( Z a m H J <br /> L U <br /> a <br /> W@ 0 �y <br /> 6 w m 0 <br /> PL-4_20231}412 Ft G 6 5 x x X x <br /> PL-5Ft <br /> 77777—P <br /> i31 a 17 O�uIJ 1 w x <br /> Samplers Name: Avery Knizek Relinquished By!Affiliation Date Time Accepted By!Affiliation Date Time <br /> Sample s Company: Antea Group �✓ I Y l! Q y <br /> Ship Method: Fed-Ex Ship Date: <br /> Shipment Tracking No: 3 4 �� �Q <br /> Special Instructions: VOCs include:MTBE.DIPS,EtBE,TAME,TBA,1,2-DCA,EDB.and BTEX <br /> THIS LINE-LAB USE ONLY: Custody Seals In Place:Yes I No ( Temp Blank:Yes I No I Cooler Temp on Receipt: 'FIC I Trip Blank:Yes I No MSiMSD Sample Submitted:Yes r':c <br /> BP LaMP SoiI1H2O COC March 2019 <br /> Proprietary and Confidential <br /> Property of BP and its Affiliates <br />