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San Francisco Vol • d;�03 Conoco 'llips Chain Of Custody Record 3� <br /> ConocoPhlllips Site Manager CaninPhiliiti;Wo`rkrorde�Number` <br /> 1220 Duarry Lane INVOICE REMITTANCE ADDRESS <br /> CONOCOPHILLIPS DATE An <br /> Pleasanton, CA 94566 Atm Dee Hutchinson 3x*' y <br /> ��z�noa` Ilips,C a j PAGE 1 of <br /> 3611 South Harbor,Suite 200 w�.�a�r `'7'7j �°�I <br /> (925)484-1919 (925)484-1096 fax Santa Ana,CA 92704 <br /> SAMPLING COMPANY Valid Value ID CONOCO PHILLIPS SITE NUMBER GLOBALIO NO <br /> TRIC t3/-2r> - n4P-7W 7CO F Z`Z <br /> AObRE$$ SITE ADDRESS[Streets and <br /> rCity),�Q �- CONOCOPHILLIPS SITE MANAGER <br /> 21 Technology Drive,Irvine CA 92618 14 47b <br /> PROJECT CONTACT(Hatdoepy or POF Report to) Ila fm�la <br /> An u Farfan EOF DELIVERABLE TO(RP or Dasipnee) 1PHONEL W- E4IRIL- UfB U$E tl1UtY` L z <br /> } ter Thomson,TRC <br /> TELEPHONE FAX E-MAILE-0M1AIL 949-341-7408 <br /> 949341-7440 949-753-0111 afarfan@tresolutions corn pthomson0_tresolutions com � e �€ €� � a9 <br /> SAMPLER NAMEIS)(Print) CONSULTANT PROJECT NUMBER 4�f <br /> ri o� 410500011FA20 REQUESTED ANALYSES <br /> TURNAROUND TIME ICALEN RDAYS) <br /> 14 DAYS E] 7 DAYS ID 72 HOURS 13 46 HOURS [3 24 HOURS 0 LESS THAN 24 HOURS = e W <br /> " a <br /> 2v 1 FIELD NOTES <br /> SPECIAL INSTRUCTIONS OR NOTES CHECK BOX IF EDD IS NEEDED d W O C H ❑ <br /> a G� oo m a in CQ Container/Preservative <br /> 5 X ` v v = -J or PID Readings <br /> IJJw w ^ Oy h a a N .� or Laboratory Notes <br /> co � ❑ <br /> CID <br /> aGni. 11 CL O � x m o � � <br /> Hr= cc F Ii- C LL 0 (A m CJ <br /> Field Point name on r cared If different from Sample ID ' ' W ' m ' l f� .S y <br /> LA <br /> Sample en ca ion a Point SAMPLING xnrwX No OF to OW to � � $ � n N � � cv TEMPERATURE ON RECEIPT C° <br /> tfML C00Namea DATE TIME CONT oOa + J '\ <br /> 'wou <br /> NN V <br /> C <br /> VVag, r7r44) L�'p <br /> � <br /> �� � -Pk / V V <br /> 16z <br /> �. 4 blot <br /> mo,. <br /> Rehnquished by(Synalure) Remrveeddbyby(Signaare) Date Tmme <br /> y qna Received by(SignaAre) Date Time <br /> � r ; � 7-d 130 <br /> RahMUzhad by(Signahre) Rec (Signature) Date Time <br /> /_2 7ro J j 30 <br /> WIW03 Revision <br />