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Chain of Custody Record Page°toe . <br /> Project Name: ARCO 2168 RAP Implementation On-site Time: 0 Temp: 65 <br /> BP BU/AR RegionlEttfos Segment: gp>Arnerkm>West Coast>Retail WC6U>CA Off-site Time: '7 i;} Tem : .5 <br /> >Central>V68>Historiral8L Sky Conditions: e%rr — lir4lf G p,d 5v-1lin <br /> State or Lead Regulatory Agency: San Joaquin County EmironmentalManagement Dept. Meteorological Events: <br /> Requested Dae Date(mnVddlyy): 111x9LO Wind Speed: 1-!(, mak. Direction: <br /> Lab Name:Sequoia BPIAIt Facili No.: 2168 Consultant/Contractor: URS <br /> Address:885 Jarvis Drive SWAR Facility Address:441 W Charter Way,Stockton CA 95206Address; 2870 GaISM Oaks Drive Suite 300 <br /> Morgan Hill,CA 95037 Site Lat/Lor : NIA Sacramento CA 95833 <br /> Lab PM:Lisa Race California Global ID No.: 70607700508 Consultant/Contractor Project NG.: 38466562.0093001 <br /> Tele/Fax:408.782.8156/408.782.6308 Enfos Project No.: GOC81-0010 Consultant/Conlractor PM: Vernon Elarth <br /> IWAR PM Contact:Kyle Christie Provision or RCGP: Provision ele/Fax: 916.717.5045/916.679.2900 <br /> Address:4 Centerpointe Drive Phasc/WBS: 09-RAP Implementation Report Type&QCLevel- Level 1 with EDF <br /> La Palma,CA 90623-1066 Sub Phase/Task: 03-Analytical 11-mail EDD To: Denise YeBRurscorp.com <br /> Tele/F=7 t4.670.5303/714.670.5195 Cost Element: 05-Subcontracted Costs Invoice to: Atlantic Richfield C <br /> Lab Bottle Order No: Matrix Preservative Requested Analysis <br /> AN 8 a2� <br /> n g Q x4 <br /> Item Sample Description No. Ea A o Laboratory No. e ; Sample Point Lat/Long and Comment <br /> va <br /> Ud O J a <br /> vis <br /> t t4�-cxa ►1t1o5 08 5 " 'r� . r, ; <br /> 2 F,w-q—a�0 �D <br /> 3 --a� 1314 2 � <br /> 4 <br /> 5 <br /> 6 - - � <br /> 7 <br /> 8 <br /> to <br /> Sampier's Name Relln iahed By/Affiliation Date Tlme Acre ted B /Affil t Date Time <br /> Samples Company: If r3 [� It ' 100 <br /> a ill Its 04I T N 071-7 '�• <br /> Shipment Date: r <br /> Shipment Method: 1 1 r7"O a <br /> Shi ment Tracking No: <br /> ecial Instructions: <br /> ustcrily Seals In Place Yes No Tem Blank Yes No Cooler Temperature on Receipt of/C Tri Blank Yes No <br /> Distribution: White Copy-Laboratory/Yellow Copy-13P/Atlantic Richfield Co. /Pink Copy-Consultant/Contractor Up COC Rev.4 10/]/04 <br />