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Page 1 of 10 <br /> s Chain of Custody Record On-site Time temp <br /> - r t'1 o]cet Nanic 2Q04 Sampling Event-SHU-9 Off-site nitre Temp <br /> RP BU CEM CO Po][folio. <br /> � Atlantic Richfield Company Sky CnndUtona <br /> 131' L aboriitory Coots net Number: _ eteuralogical Events <br /> Date: Requested Duv Date(mui/dd/yy_____ ind Speed D,rcclron <br /> Send To. >31 lC1 M PaulityNo., ARCO Station 2133 Consullant(Contractor SECOR <br /> Lab Name SEQUOIA ANALYTICAL BIIIGhM Facility Address 290813eajnrnin Bolt Dr, Addrem 3017 Kilgore Rd.,Ste, 100 <br /> Lab Addms- 893 Jarvis Drive Site 1D No Rancho Cordova,CA 95670 <br /> Morgau Dill,CA 95037 Stta UA/Long 381-121.3 c-nail FDD. ltilrsoras@sccor coin <br /> Califaima Global ill 4' 10607700042 C,onauliantlConlraclaf rro;ect No:773P 52133430317 <br /> Lab PM- Ron Bobel(Sacrameuto Office) WGHM PM Contact Paid Sit t plc ConsullantlContractor TeleMax 916,8610434 <br /> TeldFax- 916.9219600 Additss P.O 13 ox 6249 Consullant[Gonlraclor PM, It.lienkosky <br /> Repoil Type&QC Level_ Moragx,CA 94510 Invoice to FM u=YCo actor or 13P/GhM (GSrcle one) <br /> 13PIUHM Account NG Tzlefflm (97,5)799$891 DPICrSM Wnr e o <br /> Lab Bottle OrderNv Matrix Prescrvatrtics Requested Analysis <br /> SamplePoint <br /> No <br /> t SampirDescnphon 'Iltue Lab No. rQ <br /> p� Comments <br /> ommeonComments <br /> o <br /> v, ill�1 7 a �- z V p o A ,Y <br /> 1 <br /> B H D-1 x I VI 3 IX Ix I x 3800442381-121349667 <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> G <br /> 7 <br /> 8 <br /> Sampler's Naru - Relinquished I lme cceptcd try filliatfonDate ,me <br /> Sam let's Company e5Cd -- _ 1-;I— <br /> Shipment <br /> Sht ment bate' <br /> 3fii iuetpt Method. <br /> Slupntant Trackuig No <br /> Special histructrons <br /> to Seals b Place Yes No Temperattim Blank Yes No Trip Blank Yes NO <br /> btstrtbuhon Whtte Copy-Laboratory l Yel tow Copy-13PfGEM !Pink Copy-ConsultanWonlractor BI?COC Rev.] 2!5102 <br />