Laserfiche WebLink
Chain of Custody Record Pagc—Lof 1 <br /> Project Name: ARCO 2168 RAP Implementation Eky <br /> site Time: 073.Q Temp.. <br /> Ob BP BU/AR Region/Enfes Segment: <br /> BP>Amedras>West Coast>Heial>WCBU>CA site Time: t =G1b Tem : <br /> >Central>2168>HislorlcalDL Conditions: CState or Lead Regulatory Agency; San Joaquin County Envuonmmtal Managemeal Dept. eorolugical Events: �— <br /> Requested Dere Date(rnnlldd/yy): j 3d O d 5 eed: M .l Direction: <br /> [EAddr—css:885 <br /> Sequoia BP/AR FacilityNo.: 2168 Consultant/t ontractor: URS <br /> rvis Drive 8WAR FacilityAddress:441 W Charter Way,Stockton,CA 95206 Address: 2870(;atewa Oaks Drive Suite 300 <br /> n Hill,CA 95037 ite Lavlor : N/A Sacramento,CA 95833 <br /> celifornia Global ID No.: 70607700508 nsultant/Contractor Prdeet No.: 38466562.0093001 <br /> 2.8156/408.782.6308 Enfos Project No.: GOCS 1-0010 ensultant/Conlractor PM: Vernon Elarth <br /> BP/AR PM Con—t-K 1e Christie Provision or RCGP: Provision f ele/Fax: 916.717.5045/916.679.2900 <br /> Address:4 Cenle ointe Drive Phase/WBS: 09-RAP Inn lementatior Ze ort e& C Level: Level 1 with EDF <br /> La Palma,CA 90623-1066 Sub Phase/Task: 03-Analytical E-mail EDD To: Denise Yc ursco .corn <br /> ele/Fax:714.670.53031714-670,5195 Cost Element: 05-Subcontracted CostsInvoice to: Altantic Richfi . <br /> ab Bottle Order No: Matrix Preservative Requested Analysis <br /> r � <br /> Item -SamplDescription <br /> e escrptons v a <br /> Nn. a LaboraNo. <br /> Nb <br /> (3u o Sample Point Lat/Long and Comment <br /> z <br /> x <br /> it <br /> dly <br /> C-L1> <br /> 6 Zo <br /> f z b <br /> 8 MW~- q ' 20 (' S'(p r(tsJo x v �! <br /> .� <br /> 9 /K a1 Lb ^ el L f t t a//!�I b ( L <br /> 10 14r1(,t ' VZ—-70 (010 Ili( (.a j -L, V <br /> Sampler's Name: z, p f/,I —__,J_,_Xelft1qpJ1hed By/Affiltgtfon 11 Date 11 Time F rrttiation Date Time <br /> Sam lee's Com an . Cee bra /1 t va RS - 11 <br /> a S� o <br /> c <br /> 5hi meet Date: t. bl �( � � � _'_'_ <br /> 5hi ment Method: 17 S , <br /> Shi tnant Trackin No; <br /> Special Instructions: Ir/!Y <br /> Custpd Seals In PEace Yes No iesn Blank Yes No Coater Temperature on Receipt n 'FIC TriBlank yes No <br /> fpr 1 <br /> Distributi <br /> on: White Copy-Laboratory Yellow Copyyr-BPIAtlanp{tic Richfield Co. 1 Pink Copy-Consultant/�Conlractor B.P COC Rev.4 f 1011/04 <br /> �..�.r �-+r�..�1, r�-�w+rt.' �. �rh i-+.�..r 'F.Wwi.yr i4.��1Yi 1....+r. 'F..rwr� '�,�iyy� 6+�.r+. f++.►r, �. � �w �-�.�a.- a+yiw�. �-.�.r..r <br />