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1 <br /> ~� 3 <br /> age-- Z <br /> Chan Of Custody Rec .d on-s,te Zin,t `� <br /> Protect Name W&W LV& Off site Time <br /> it BP BU/GEM CO Pot tlolio: Atlantic Richfield Company Sky Conditimis <br /> B11 Laboi ntoi y Contract Number. Metruiolo tical Events <br /> Date. Requested Due Date(xwn/id/yy) Standi„d TAT Wind S eed <br /> Send Cti' 13YIG1!,fv5 f�actlit Na < CaiisultaiiUContractar Strs <br /> l ab Noble Sequom Analytical 13PIGEM Fawlit Address I Z( Address 3330 Cameron <br /> Lab AddiLss 1455 M(.Dowe11 J3o11lertar(l, Site 1D No Ciln,eron Parli,California <br /> North,Suite D Site Lat/Lang e-mailEDD c etivit r strntusmc net <br /> Petaluma, California 94954 California Glottal ID —n 471710 'S S" CoilsultOWContrattor Pro eLA No <br /> Ub l'M Aiigelec Cai i Bp/GLM PIVI Cont'u.t a Cailsultalll/COHtiu,for Fele/Fax (530)676-6003(530)67G 600S <br /> 1 cicJk eK (707)792 1565(707)792 0342 Addiess 644-s— D' ®yC Cowultant/Contractor PIA Jay fnl,nson <br /> k x,i t I yl�e&QC Level 1 p Glvtxi,e to Cw,sultant/Contractor or 13P/GENT (Circle one <br /> 13l'1OLM A"ount No ele/l'ax 13P/ EM Work Release No <br /> Lab 13oWe Oider No Metrix Preservatives Regties ted nttlysis <br /> �i <br /> t un Sample Des-]Iptiolt Tilnc � � � Laboriifary No � � � 0 C> Sample Polnt Lnt/Coag and <br /> a o p 00 000 Comments <br /> e" <br /> i rn C5 <br /> 2 V led X I <br /> 3 vw• 3'� V f <br /> 4 <br /> 5 <br /> bai/�� l2 <br /> 9 lu 1<E,1PUs RL c <br /> 10 <br /> Salliplel's Mime O'heo ( 12c11 t! t tt [1ale I ime tell izy!Afflintion Otte 1 into <br /> Salepfel's Cott, an %M4*4 > <br /> ] ,y <br /> Sill)IIICiIt Dwe 0 VD <br /> ! <br /> Stu incilt Method fthjtek <br /> Shipment Tracking No <br /> Special Illstruetions <br /> Custody Seals In Place Yes remperattlrc Blank Yes X-No Cooler Temperature on Receipt OF/C <br /> Trip 131attk Yesr,No <br />