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Laboratory Management Program (LaMP) Chain of Custody Record <br /> Soil, Sediment and Groundwater Samples Page _1 _ of <br /> Req Due Date (mm/dd/yy) : <br /> Rush TAT Yes X No <br /> L BP Facility No : ARCO No. ,'99B 1t ) 43 Lab Work Order Number: <br /> Lab Name: Pace National BPlARC Facility Address: 3425 Tracy Blvd North ConsultanUConlractor. Antea Group <br /> Lab Address: 12065 Lebanon Road, Mt. Juliet, TN 37122 City, State, ZIP Code: Tracy, CA 95376 ConsultanUContractor Project No: BP M&C 2093 <br /> Address: 11010 White Rock Rd, Suite 140, Rancho Cordova, CA 95670 <br /> Lab PM: Brian Ford Lead Regulatory Agency: San Joaquin County - Enviromental Health <br /> Lab Phone: 615 773 9772 Department ConsultanVContractor PM: Brad Jackson <br /> Phone: 971 -777-0241 Email: Brad JacksonAnteaGroup. us <br /> Lab Shipping Accnt: <br /> Send/Submit EDD to: Brad Jackson, Antea Group <br /> Lab Bottle Order No: <br /> Invoice To: Antea Group <br /> Other Info: ANTEARCCA-2093 <br /> Requested Analyses Report Type & QC Level <br /> BP PM: Grill Williamson <br /> PM Phone: 805-794 6847Filtered (Y/N) N N N N N Limited (Standard) Package x.PM Email griffin .williamson@Jp . com Preservation N N N N N Limited Plus Package <br /> Cd Full Package — <br /> yLu Lu <br /> U CL <br /> 00 <br /> a ui 0 o 0 <br /> IZZ <br /> ._ O m n <br /> Unique Sample ID, must follow format of o c < L O <br /> Lab COMP_NUMBER YYYYMMDD Example : Time E d w <br /> No. v° W � m � , Comments <br /> COMP 20220608 <br /> a <br /> `o E w m a <br /> Lu <br /> U Za aF a <br /> w re O m O O m 9 o <br /> > > w m U' <br /> OPINION Oq <br /> UDC-1_20230412 Ft G 6 S X X X X <br /> UDC- E412 <br /> 412 (� 107. Fl G 6 S X X X X <br /> UDC 4 *0 Ft G 6 S X X X X <br /> UDC-4_20230412 r, �. Z S 03 Ft G 6 s X X X x <br /> PL-1_20230412 3 ,�5 Ft G 6 S X X X X <br /> PL-2_20230412 ` ''y3` Ft G 6 S X X X x <br /> r , Iw <br /> PL-3_20230412 . d Lie V Fl G 6 S X X X X <br /> Sampler's Name: Avery Knizek <br /> Relinquished By ! Affiliation Date Time Accepted By / Affiliation Date Time <br /> Samplers Company: Antea Group <br /> Ship Method: Fed-Ex Ship Date: 'V <br /> JI <br /> Shipment Tracking No: 1 Q <br /> Special Instructions: V6Cs include: MTBE, DIPE, ELBE, TAME, TBA, 1 ,2-DCA, EDB. and BTEX Blank: Yes / No MS/MSD Sample Submitted: Yes I No <br /> THIS LINEI,, LAB USE ONLY: Custody Seals In Place: Yes / No Temp Blank: Yes / No Cooler Temp on Receipt: ' F/C I Trip I gp LaMP SoII1H2O COC March 2019 <br /> Proprietary and Confidential <br /> Property of BP and its Affiliates <br />