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Gain of Custody Record <br /> Project Name: _ARCO 2168 RAP Implementation On-site Time: ZjT, 0 Tcm : -1w <br /> Ob SP MAR Region/Enfos Segment: BP>Americas>West coast>Relal>WCBU>CA Off-site Time: Tenni: '70 <br /> >Central:.2168>HisloftaiBL Sky Conditions: d fm it 'Jun ri P„ J l ti <br /> State or Lead Regulatory Agency: San Joaquin County Environmental Mmageumt Deft, Meteorological Events: <br /> Requested Due Date(mmldd/yy): 1 a510 en. lWind Speed: 410 Direction: <br /> Lab Name:Sequoia BP/AR Facilil No.: 2168 onsultant/Contractor. URS <br /> Address:885 Jarvis Drive BP/AR Facilit Address:441 W Charter Wa ,Stockton,CA 95206 ddress: 2870 GatewayOaks Dri b,Suite 300 <br /> Morgan Hill,CA 95037 Site Lat/Lon : NIA Sacramento CA 95833 <br /> Lab PM:Lisa Race California Global ID No.: T0607700508 Consultant/Contractor Project No.: 38466562-0093001 <br /> ele/Fax-408.782.8156/408.782.6308 Enfos Project No.: GOC81-0010 consultant/Contractor PM: Vernon Elarth <br /> BPIAR PM Contact:Kyle Christie Provision or RCOP: Provision Tele/Fax: 916.7 t7.5045/916.679.2900 <br /> Address:4 Cent ointe Drive hase&MS: 09-RAP Itn lennenlation R ort a 8t C Level: Level 1 with l3DF <br /> La Palma,CA 90623-I066 Sub Phas&Task. 03-Analytical &mail EDI]To: Denise Y ursw .com <br /> TeletFax:714.670.53031714.670.5I95 Cost Element: 05-Subcontracted Costs ivoice to: Altantic Richfield Co <br /> Lab Bottle Order No: Matrix Preservative Requested Analysis <br /> bs b <br /> Item Sample Description dE; a Laborsto 1110 ' � <br /> No. A. A rY o Sa le-koirFti ong and Comments <br /> o <br /> z u. <br /> 4 Z W � <br /> t p- - oSaS " ori17- <br /> 2 <br /> � <br /> 2 $- ~tag r �l X005` a t5 urto o X m� I t a � <br /> 3 W — Z� o.5.3 "�t 6 v''l 2 Z- x <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> J . I I �-Samplers Name: u Relin sed gy/ ffiQawl Date Tiore Accepted lay I Affiliation Date Time <br /> Sam ler'sCompany: !l I&W1 1'/3a ltEr )ar 3m <br /> Shi meat Date: 11 tb O 7l/i•f is%'fs` <br /> ll <br /> Shipment Method: LLc t 6 ► <br /> Shi ment Tracking No: <br /> S eciaHnstructions: FF1t 4PS >ZO r C1 <br /> Custody Seals In Place Yes No V Temp Blank Yes No Cooler Temperature on Receipt °P/C THP Blank Yes V No <br /> Distribution: White Copy-Laboratory/Yellow Copy-13P/Atlantic Richfield Co. /Pink Copy-Consultant/Contractor BP COC Rev.4 10/l/04 <br />