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WordofChain of Custody -site Time Temp <br /> 01 % <br /> Project Name PT Off-site Time 'temp <br /> BP BU/GEM CO Portfolio: sky Conditions <br /> /. , �v BP Laboratory Contract Number. <br /> I 1 eteorological Events <br /> Date:_1 Requested Due Date(mm/dd/yy) :i !A r` i r �' Wind Speed Direchon <br /> FbA <br /> : 7JU; P/GEM Facility No j - Consultant/Contractor <br /> e C P/GEM Facility Address i C n1'A 7 r a u r kgs ti <br /> ess Site ID No1 <br /> Site Lat/Long em, <br /> EDD <br /> California Global ID# Consultant/Contractor Protect No ? it �� u 1 i <br /> Lab PMBP/GEM PM Contact L Consiiltant/Contractor Tele/Fax l <br /> Tele/Faxss onsultant/Contractor PM 4 =A 7T J <br /> Report Type&QC Level 1P/GEM <br /> voice to Consultant/Contractor or BP/GEM (Circle one) <br /> BP/GEM Account No Tele/Fax Work Release No <br /> Lab Bottle Order No Matrix PreservativesRequested Analysis <br /> Item Sample Description Time Q No. Laboratory No pC� Sample Point LatLong and <br /> oO O oC Comments <br /> 3 A <br /> 2 "1 0J s <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Sampler's Name L t t 5_ t ; C Rethululd"By/.4E1i4 tion 1e I, ImeAccepted By/A11114ition _? ate Thne <br /> Sample's Company , <br /> Shipment Date <br /> S111pulent Method s <br /> Shipment Traclang No <br /> Special Instructions. <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt °FIC Trip Blank Yes Na <br /> N Ul TAN I It NTRA R <br />