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Page 3 of <br /> Chain of Custody Record On-site Time Temp <br /> Project Name 2QO4 Groundwater Sampling Event Off-site Time Temp <br /> 0 BP BUIGEM CO Portfolio: Atlantic Richfield Company sky Conditions <br /> BP Laboratory Contract Number: Meteorological Events <br /> Date Requested Due Date(mmldd/yy IrVind Speed Direction <br /> Send To: BP/GEM Facility No ARCO Station 2133 Consultant/Contractor SECOR <br /> Lab Name SEQUOIA ANALYTICAL. BP/GEM Facility Address 2908 Benjamin Holt Dr Address 3017 Kilgore Rd,Ste 100 <br /> Lab Address 885 Jarvis Drive Site ID No Rancho Cordova,CA 95670 <br /> Morgan Ilill,CA 95037 Site Lat/Lon 38/4213 e-mail EDD kflesoras@secor com <br /> California Global ID# T0607700002 Consultant/Contractor Project No 77BP 52133 04 0327 <br /> Lab PM Ron Bobel(Sacramento Office)- BP/GEM PM Contact Paul Su le Consultant/Contractor Tele/Fax 916 8610430 <br /> Tele/Fax 916 9219600 Address P O Box 6249 Consultant/Contractor PM R.Benkosky <br /> R ort Type&QC Level Mora a,CA 94570 Invoice to Con ant/C actor or BP/GEM (Circle one <br /> BP/GEM Account NoTele/Fax (925)249 8891 ,[BP/GEM Work Re e o <br /> Lab Bottle Order No Matnx Preservatives Requested Analysis <br /> C. <br /> n ui m <br /> N A W <br /> Item Sample Description Time n Lab No � � � Q � Sample Point Lat/Long and <br /> No Y o Comments <br /> N x u W m <br /> 0 w O ?C U <br /> o $ o a `N U H F X 12, <br /> A <br /> 0 00 <br /> d z x CQo <br /> 1 MW-2 -------------------------------------------------------------INACT 38 00432111-121 349915 <br /> 2 MW-3 –---------------_—__--------------------__...___------------INACT 38 00443051-121 349863 <br /> 3 MW-4 -----------------------------------------------------_- _INACT 38 00439651-121 349833 <br /> 4 MW-5 ---—-------------------------------------__---------INACT 38 00454221-121349872 <br /> 5 QCTB X z jr Ix X 38 00444791-121 350204 <br /> 6 138 00442381-121 349667 <br /> 7f__ 38 00454681-121 349803 <br /> 8 1 38 00475361-121 349887 <br /> Sampler'sN Relinquished By/Affiliation a Accepted By!Affiliation Date line In <br /> 1 V <br /> S ler's Co an U2 LD14AC �l{ 9 <br /> Sht ment Date _�s-_ <br /> Shi Ment Method a <br /> Shipment Trackmg No <br /> S eciallnstructlons <br /> Custody Seals In Place Yes No Temperature Blank Yes No Trip Blank Yes No <br /> Distribution WhiteCopy-Laboratory/Yellow Copy-BP/GEM 1 Pmk Copy-Consultant/Contractor 13P COC Rev l 2/5/o1 <br />