Laserfiche WebLink
Page of ' <br /> _ <br /> bp <br /> Chain of Custody Record leteorological <br /> n_S�te T�,e Te�,� <br /> ,' Project Name , : J �f l ff-site Time Temp <br /> BP BU/GEM CO Portfolio: y Conditions <br /> 17 BP Laboratory Contract Number- Events <br /> Date: Requested Due Date(mm/dd/yy) '•'', 1A JWind Speed Direction <br /> Send To: C/ci [Site <br /> EM Facility No `/ 7 Consultant/Contractor <br /> Lab Name GEM Facility Address '"' u,f' ;�„ M u , ddress , ` r L j c✓I( / �� <br /> Lab Address -- D No _ ,, , •,� ,, f , <br /> �G <br /> at/Long -mail EDD <br /> rnia Global ID# Consultant/Contractor Project No S <br /> Lab PM P/ EM PM Contact "'� '> f <' Consultant/Contractor Tele/Fax U ` <br /> Tele/Fax ss <br /> consultant/Contractor PM <br /> [Report &QC Leve! Invoice to Consultant/Contractor or, BP/GEM (Circle one)P/GEM Account No ele/FaxP/GEM Work Release No <br /> ab Bottle Order No Matrix <br /> Preservatives � Requested Analysis <br /> Item Sample Description Time ` v Sample Point Let/Loa andNo y . <br /> c d v 00 \$ �S Comments <br /> 3 z <br /> 2 X <br /> 3 <br /> 5 <br /> 6 l �� k u <br /> 7 ` iJS <br /> 9 <br /> 10 r <br /> rl I <br /> Sampler's Name 4L:,rl /17.10 '4 1-) bed rAt listba . inw d By/AfEi iadhn 1 � C Date tme <br /> az <br /> Sampler's Company 5-c-I ', �_--- _7C '( -V-,, L U -� I- ,- <br /> �� l <br /> Shipment Date <br /> Sin mens Method _61/ <br /> Shipment Tracking No <br /> Special Instructions. <br /> I Custody Seals ace Yes No Tem o <br /> perature Blank Yes No ^^ r Cooler Temperature on Receipt FIC Tnp Blank Yes <br />