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Ob <br /> Chain of Custody Record <br /> Project Name: ARCO 2168 RAP Implementation <br /> On-site Time: <0Tem <br /> SP SU/ARRegion/EnfvsSegment: 8p>A„efiicas>wed coast>tietal>wCBU>CAOff-site Timer Tem <br /> >Central>2168>HistokalBL 5k„Conditions: gx- ,r(-r J, t <br /> State or Lead Regulatory Agency: San Joaqub County EiMfronmental Managwmi Dept. Meteorological Events: <br /> Requested Due Date(mm/dd/yy): C � ltir^rg' WindSpeed: </p Direction: <br /> Lab Name:S uois P/ARFacilit No.: 2168 nsultant/Contractor: URSAddress:$85 Jarvis Drive BP/AR Facili Address:441 W Charter Wa ,Stockton CA 95206 ddress: 2$70 Gatewa Oaks Diive,Suite 300 <br /> Mor a HillCA9547te Lat/Lon : NIASacramentoCA 95833 <br /> Lab PM:' isa Race aliforrtia Global IDNo.: 70607700508 Consultant/Contractor Project No.: 38466562.0093001 <br /> le/t?ax:408.782.8i561448.782.63481NIB <br /> Enfos Project No.: GOC81-0010 Consultant/Contraetor PM: Vernon Elarth <br /> BP/AR PM Contact:K e Christierovisiou or RCOP: Provision ele/Fax: 916.717.5045/916.679.2900 <br /> Address.4 Cente inte Drive hasdwBS: 09-RAP Im lementation Re ort 7 e& C Level: Level I with EDF <br /> La PalmaC23-IOfifi' ub PhaselTask: 03-Analytical &mail EDD To: Denise Ye tusca .com <br /> eleMax:714.670-53031714,670.5195 ost Element: 05-Subcontracted Costs Invoice to. Altantic Richfield Co. <br /> Lab Bottle Order No: Matrix Preservative Requested Analysis <br /> Item <br /> Sample Description 0 a o b <br /> No. p P Laboratory No. '� W <br /> p C, {g .., 5a Ic�iut I.atIL ng and Commen <br /> o A� <br /> zz <br /> rn <br /> 1 sP- Z t3 DO ttl/�/ x ! I ► ae <br /> 2 "fI ZIIA—f l0 700 Z /Znb k rota k � <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 9 CJ <br /> 10 <br /> Sampler's Name: ` o <br /> Sam let's Com an Relln fished yl Affiliation .-DatE" Time Accepted By/Affiliation /late Time <br /> S <br /> if,C W3d <br /> Shi mcnt Date: <br /> Shi ment Method: <br /> Shi meat Trackin No: <br /> edit Instructions: Fs_r tze 5 y t> Z Q la ph <br /> Custoci Seals In Place Yes No Tem Blank Yes No Cooler Temperature on Receipt of Trip Blank Yes No !/ <br /> Distribution: White Copy-Laboratory/Yellow Copy-RP/Atlantic Richfield Co. /Pink Copy-Consultant/Contractor BP FoCRev:4 1011!04 <br />