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Page,_of <br /> bp <br /> Chain of Custody Record m-site Time Te Project Name ARCO 4932 Extraction well developmentOff-site Time Temp <br /> BP BU/GEAI CO Portfoho: Sky Conditions <br /> Bl'LAburatorN Contract Number. Meteorological Events <br /> f <br /> Date: Requested Due Date(mmldd/yy) 15-03 and S buection <br /> Send To. P/GEM Facility No ARCO Station 4932Consultant/Contractor SECOR <br /> Lab Name SEQUOIA ANALYTICAL. P/GEM Facility Address 16 E Harding Way,Stockton Address 3017 Kilgore Rd,Ste. I00 <br /> Lab Address 819 Striker Ave Site ID No Rancho Cordova,CA 95670 <br /> Sacramento,CA 95834 Site Lat/Lon -mail EDD chi secor com <br /> ifotma Global ID# 70607700237Consultant/Contractor Project No 77BP 54932 03 o930 <br /> Lab PM Ron BobeiBP/GEM PM Contact Chu(Paul Supple nsultant/Contractor Tele/Fax 916 861.0430 <br /> Tele/Fax 916 921.%00 Address P O Box 6249Consultant/Contractor PM R.Benkosky <br /> Ren Type&QC Level Mora a,CA 94570 Invoice to Consultant/Contractor or BP/GEM Circle one <br /> BP/GEM Account Na Teleffiax 925 299 8891 IBPIGEM Work Release No 30732 <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> Item <br /> No cu <br /> Sample Description Time -5 tr 4 Laboratory No o N Sample Point Lat/L,ong and <br /> o Comments <br /> O <br /> N <br /> V Oon <br /> v O X <br /> CO M p W <br /> 2 f�wv2 X 6k 9,3 <br /> 3 w_ ��'s� 3 x p <br /> 3 <br /> 3 <br /> 3 ,- c c ,Jr; CT �F a T <br /> � f 4 ►A7Y�I T$l� <br /> 7 � <br /> LLX+'�-�n re L71�'� x=11 <br /> ,4 1 ,' ]` ,rho <br /> 8 C t3kT 1s ,L3 3 <br /> Samplet'S Name jNj j �1 f} Rehnquished By/Atliliatlon ;;4ate zime ccVted By!Affilia o ate Ime <br /> S let's CoTpany SZ. O I-- j±-L5f ,to ►�S <br /> Shi meat Date JI <br /> Shipment Method �� <br /> Shipment Tracking No g� <br /> Special Instructions: <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt °F/C Trip BIwA Yes No <br /> Distribution White Copy-Laboraatory/Yellow Copy-BP/GEM /Pink Copy-Consultant/Contractor BP COC Rev i 2/5102 <br /> s � � <br />