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by Laboratory Management Program (LaMP) Chain of Custody Record <br /> Soil, Sediment and Groundwater Samples 2 <br /> Page _2_ of <br /> Req Due Date (mm/dd/yy) : Rush TAT Yes X No <br /> BP Facility No: ARCO No. �Yun3 Lab Work Order Number: <br /> Lab Name: Pace National BP/ARC Facility Address: 3425 Tracy Blvd North <br /> Consultant/Contractor. Antea Group <br /> Lab Address: 12065 Lebanon Road, Mt. Juliet, TN 37122 City, State, ZIP Code: Tracy, CA 95376 <br /> Consultant/Contractor Protect No: BP M&C 2093 <br /> Lab PM: Brian Ford Lead Regulatory Agency: San Joaquin County - Enviromental Health Address: 11010 White Rock Rd, Suite 140, Rancho Cordova, CA 95670 <br /> Lab Phone: 615-773-9772 Department <br /> Lab Shipping Accnt: Consultant/Contractor PM: Brad Jackson <br /> Lab Bottle Order No: <br /> Phone: 971 -777-0241 Email: Bfad .JacksonCa�AnteaGroup us <br /> Send/Submit EDD to: Brad Jackson, Antea Group <br /> Other Info: ANTEARCCA-2093 <br /> Invoice To: Antea Group <br /> BP PM: Griff Williamson <br /> Requested Analyses Report Type & CIC Level <br /> PM Phone: 805-7946847 <br /> PM Email: n <br /> Filtered (YIN) N N N N N Limited (Standard) Package x__ <br /> griffi .Williannson (ftp . com <br /> Preservation N N N N N Limited Plus Package <br /> m <br /> `w ui w Full Package — <br /> N C Q. <br /> Q. U <br /> c ui p o 0 <br /> Lab Unique Sample ID, must follow format of o c0 o <br /> COMP_NUMBER YYYYMMDD Example: Time E <br /> O � .c <br /> No. COMP_1_20220608 0 v o o co w <br /> o E w d Comments <br /> x v <br /> L7 z n W w m <br /> L X N N ~ H J <br /> Ld <br /> CL 0 <br /> m <br /> N O i O O m L m <br /> l� > > <br /> PL 4_20230412 Ft G 6 S X X X X <br /> PL-5 <br /> Ft rnI <br /> P 2 X IT <br /> � r� I31 drlS o3uL) Z w k <br /> I� k <br /> Sampler's Name: Avery Knizek Relinquished By / Affiliation Date Time Accepted By I Affiliation Date Time <br /> Sampler's Company: Antea Group A,� V I l 7 7 17. <br /> Ship Method: Fed-Ex Ship Date: U <br /> Shipment Tracking No: ci3 ` -Lo , (� U <br /> Special Instructions : VOCs include: MTBE, DI IPE, ELBE, TAME, TBA, 1 ,2-DCA, EDB. and BTEX <br /> THIS LINE - LAB USE ONLY: Custody Seals In Place: Yes / No Temp Blank: Yes / No I Cooler Temp on Receipt: ° F/C Trip Blank: Yes ! No MS/MSD Sample Submitted: Yes / No <br /> BP LaMP So[VH2O COC March 2019 <br /> Proprietary and Confidential <br /> Property of BP and its Affiliates <br />