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Nei Chain of Custody Record Paget of f <br /> 1 ry k,�� Project Name: ARCO 2168 GW RAP int lementation On-site Time: ss - Tem : $ "" <br /> c BP WAR Region/Enfos Segment: gp>Aar-icas>West Coast>Retd>WCBII>CA Oft-site Time: Tem : <br /> >Central>2168>Historicalt3L Sky Conditions: Clew <br /> State or Lead Regulatory Agency: Safi Joaquin County EnvimnmentalManagemcntDept Meteorological Events: <br /> Requested Due Date(mm/dd/yy): Wind Speed: Direction: <br /> Lab Name:S uoia BP/AR FacilityNo.: 2168 ons ultant/Contractor. URS <br /> Address:885 Jarvis Drive BE FacilityAddress:441 W Charter Wa ,Stockton,CA 95206 dress: 2870 GatewayOaks Drive,Suite 300 <br /> Morgan Hill,CA 95037 Site Lat/Lon : NIA Sacramento CA 95833 <br /> Lab PM:Lisa Race California Global ID No.: T0607700508 onsultant/Contractor Project No.: 38466562.0093001 <br /> ele/Fax:408.782.8156/408.782.6308 >rnfos Project No.: GOC81-0010 Co nsultant/Oontractor PM: Vernon Elarth <br /> BP/AR PM Contact:Kyle Christie Provision or RCGP: Provision Tele/Fax: 916.717.50451916.679.2900 <br /> Address:4 Cente ointe Drive Phase/WBS: 09-RAP Implementation R ort e& Level: Level 1 with EDF <br /> La Palma,CA 90623-1066 Sub Phaseffask: 03-Anal ical E-mail EDD To: Denise Ye ursco .com <br /> ele/Fax:714.670.53031714.670-5195 ost Element: 05-Subenntracted Costs Invoice to: Altantic Richfield Co. <br /> Lab Bottle Order No: Matrix - Preservative Requested Analysis <br /> J r/ <br /> Hein Sample Description a v a q °' Na <br /> No. Laboratory No. <br /> [F R o 4. v � ^o t �� Samp a oint Lat/Long and Comment <br /> L <br /> M <br /> lair, )0 an <br /> 2 GSW -2 �z n !'i:�1a trier x Oy �1 t <br /> _ 'z- ]d <br /> 3 113'-OZ(62— {{03 e,Y /Z:a.. utz(os a3 f 1 —I a t—l] <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> lQ <br /> Sampler's Name: y,i,{ 0. Relinquished By/Affiliation Date Time e t d B /Aff111a11pn Dstc Time <br /> Sam ler'sCom an to <br /> Shi meet Date: ' <br /> Shipment Method: D&I. er (t(q(,,5 <br /> Shipment Tracking Not fv <br /> 5 eciillnstruetioas: <br /> Custod ,,Seals In Place Yes No Temp Blank Yes o Cooler Temperature on Receipt op C Tri Blatlk Yes o <br /> - Distribution: White Copy-Laboratory/Yellow Copy-BP/Atlantic Richfield Co. /Pink Copy-Consultant/Contractor BP COC Rev.4 1011104 <br />