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tl Chain of Custody Record pagel ofbp ! <br /> Project Name: ARCO 216$RAP•Implementation n-site Time: t�l7 Temp. f �° <br /> SP MAR Regton/Enfos Segment: Bps Amaritas>West Coasts Retails WC[3li>CA Off-site Time: !3 15- <br /> Temp: <br /> >Central s 2168>kistoricalK ky Conditions: ©VQlt Qre <br /> AWO <br /> State or Lead Regulatory Agency: San JoNuln County[nOonmenial Management Dept. cteorological Events: <br /> Requested Due Date(mm/dd/yy): /l AD 1".5, Wind Speed; Direction: <br /> b Name:Sequoia BP/AR Facili No.: 2168 Consultant/Contractor: URS <br /> Address:885 Jarvis Drive MAR FacilityAddress:441 W Charter Way,Stockton,CA 95206 Address: 2870 Gat cwa Oaks Drive Suite 300 <br /> Mor n Hill,CA 95037 Site Lat/Lon : NIA Sacramento CA 95833 ' <br /> Lab PM:Lisa Rate California Global ID No.: T0607700508 ConsultantlContractor Pro'ect No.: 3946G '2.0093001 <br /> Tele/Fax:408.782.8156/408.782.6308 f Enfos Project No.: COC81-0010 Consultant/Coutractor PM: Vernon Elarth <br /> HP/AR PM Contact:K le Christie Provision or RCGP: Provision ale/Fax: 916.717.5045/916.679.2900 <br /> Address:4 Centerpointe Drive Pbase(WBS: 09-RAP Implementation Reportrype&QC Level: Levellwilh4bF <br /> La Palma,CA 90623-1066 ub Phase/Task: 03-Analytical &mail EDD To: Denise Y ursco .dom <br /> Tele/Fax:714.670.5303/714.670.5195 st EIement: 05-Subcontracted Costs IlInvoice to: Altantic Richfield Co.. <br /> Lab Bottle Order Not Matrix JPre]servative Requested Analysis <br /> � � � F-eo!.t <br /> ItemstirNo. Sample Description a Laboratory No.l-, f4 , d Commen <br /> 3 z° x <br /> 1 i <br /> 2 �— !t?" �ilite 1 P� 0< min <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Sampler's Name: i✓o . Reitn uished l; 1 Affiliati n Date Time ecce ted By/At171iatioa Date Time <br /> Sam ler's Company: pi ' yt ` Q . <br /> Shi ment Date: o <br /> Moment Method: <br /> Shi ment Tracking No: tlT3.9 3W <br /> Special Instructions: <br /> Custosix Seals In Place Yes No Temp Blank Yes No Cooler Temperature on Receipt ° Trip Blank Yes 96No <br /> Distribution: White Copy-Laboratory/Yellow Copy-13P/Atlantic Rich'field Co. /Pink Copy-Consultant/Contractor BP COC Rev.4 10/1104 <br /> a.-...�.r�i �r�aR L.r...�l � '� �. �-+dr.�r�r f�} �r �-�.r..�.. L...rw�. '�..w.r... � i 1.-.r..rK: �J parr► �, r�; <br />