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P L of { <br /> Chain of Custody Aord On-site Time L.70 'Temp - <br /> Project 0 tNalrie G p �, �� Off-site Time lemp <br /> BP BU/Gl1NI Co Portfolio: Sky Conditions ve - <br /> BP Labotatory Conti act Number' Meteorological Events <br /> Date. 6 Z Requested Due Date(niin/dd/yy) Wind Speed Direction <br /> Send To Iq BP/GEM Facility No 2.l Consultant/Contractor 1'07 U <br /> Lab Name BP/GEM facility Address �. Gi F(Ppv Address <br /> Lab Address Site ID No {,$ <br /> Site Lat/Long e-mail EDD <br /> California Global ID# U d Consultant/Contractor Project No <br /> Lab PM BP/GEM PM Contact ,rt l Consultant/Contractor Tele/Fax <br /> lele/Fax Address Consultant/Contractor PM -:Tn <br /> Report Type&QC Level Jnvoice to Consultan Contractor or BP/GEM (Circle one) <br /> BP/GEM Account No rreleffiax BP/GEM Work Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> ti <br /> u <br /> b q <br /> Item a aai N Sample Point Lat/i.ong and <br /> Sample Description Time a Q Laboratory No o a CD <br /> No a �; � N N xNPh. Comments <br /> v o H O O <br /> � y� 00 or, <br /> 3 zx <br /> I W- l 9fq7 <br /> 2 k- z� <br /> 3 M11, - f C, <br /> 4 <br /> 5 rn W., <br /> 7 mLI, • _5- 07y --� <br /> g <br /> 9 <br /> la <br /> Samplees Name 1 Relinquished By!Alydiation Date rime a ted By!Afffluth6hDate Cime <br /> Sampler's Conipany rwi-v , — LIL- 121 <br /> Shipment Date &--15.v L <br /> Shipment Method h-V-v3 <br /> Shipment Tracking No <br /> Special Instructions <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on ReceiptC Trip Blank Yes No <br /> LABORATORY BP COC Rev 1 215102 <br /> I <br />