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Df <br /> Chain of Custodylfecoi7d 4.z � On-site Time 0 Temp <br /> Project Name Ld�ty V07 Off-site Time lOAa Temp <br /> --•- <br /> BP BU/GEM CO Portfolio: fit, P'e f ( Sky Conditions <br /> BP Labor ator-y Couti act Number- 19,nd <br /> teorological Events � <br /> Date. p Requested Due Date(mm/dd/yy) ��,� q y4*- Speed Direction a- <br /> Send To. L& LBP/GEM Facility No 2 t 4'P 44 L6 Consuitant/Contractor <br /> Lab Name BP/GEM Facility Address YLlt 4r C ,a•e,fr,&_&-&d Address 3330 ,J) <br /> Lab Address ( (, W Site ID No z l G a CA.,- y <br /> S ` Site Lat/Long e-mail EDD <br /> +-vimCalifornia Global ID# i•6 C a7'7&o Consultant/Contractor Project No z ( $ <br /> rAec b PM Gam , 13P/GEM PM Contact Coiisultant/Contractor TelelFax o G7G a.003" <br /> Tele/Fa p 7 22K-0 3 K Address Consultant/Contractor PM ' �..s�+✓ <br /> Report Type&QC Level I Invoice to Consultant/Contractor or §Zff2 (Circle one) <br /> BP/GEM Account No Tele/Fax BP/GEM Work Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> Item a �� _y Sample Point Lat/Long and <br /> Sample Description Time Laboratory No o �' o <br /> NO of w N N Comments <br /> 00 <br /> CIO <br /> X <br /> 2 v- j <br /> 3 <br /> 4 <br /> 5 n w-? <br /> b /lc., y <br /> 7 <br /> 8 �w-C <br /> i10d <br /> k -Ll1 r <br /> Sampler's Name ReLnqunbed By 1 Atribation Dae Time Accepted By 1 Atr onDate Tune <br /> Sampler's Company <br /> Shipment Date <br /> Shipment Method 5TIZAMCg <br /> Shipment Tracking No <br /> Special Instructions <br /> Custody Seals In Place Yes -r No Temperature Blank Yes No Cooler Temperature on Receipt °F/C Tnp Blank Yes No <br /> LABORATORY BP COC Rev 1 2/5102 <br />