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Chain of Custody Record Page_of <br /> bp <br /> Project Name: ARCO 595 UST Removal On-site Time: Q Temp: <br /> VO <br /> BP BU/ARRegion/Enfos Segment: BP>Americas>West Coast>Retail>WCBU> <br /> Off-site Tame: Ten, <br /> CA>Central>595>HistoricalBL Sky Conditions: C <br /> State or Lead Regulatory Agency: San Joaquin County Environmental Management Dept. Meteorological Events: <br /> Requested Due Date(min/dd/yy): �_ 1�4_ 2,0 O Wind Speed: Direction: <br /> A <br /> Lab Name:Sequoia BP/AR Facie No.: 595 Consultant/Contractor: URS <br /> Address:885 Jarvis Drive Address: 6100 N I Address: 2870 Gateway Oaks Drive,Suite 300 <br /> Morgan Hill,CA 95037 Site Lat/Lon : 38.02/-121.25 Sacramento,CA 95833 <br /> Lab PM:Lisa Race California Global ID No.: 70607700319 Consultant/Contractor Project No.: 38466562.0093001 <br /> Tele/Fax:408.782.8156/408.782.6308 En for.Project No.: GOBZG-0002Consultant/Contractor PM: Vernon Elarth <br /> RP/AR PM Contact:Paul Supple Provision or RCGP: RCGP Tele/Fax: 916.717.5045/916.679.2900 <br /> cress:P.O.Box 6549 Phase/WBS: 08-Divestment Report Type&QC Level: Level 1 with EDF <br /> Mora a,CA 94570 Sub Phase/Task: 03-Analytical F mail EDD To: Denise Yee@tirscotp.com <br /> Tele/Fax:925.299.8 891/925.299.8872 Cost Element: 05-Subcontracted Costs htvoice to: Altantic Richfield C /' <br /> Lab Bottle Order No: Matrix Preservative Requested Analysis <br /> ki PA b/5el <br /> Itemd �A a 9 � W H (M"le-Pogt Lat/Lon and <br /> Sample Description Laboratory No. O F. n <br /> No. F• A o U HP] ,I u Comments <br /> H 4i r, <br /> o � o <br /> ffl x x � � co 0 <br /> z <br /> 1 — it qqo �� K Mail a copy of the analytical <br /> `y.x Y dy 1, report to: Michelle Le <br /> County <br /> Joaquin San <br /> 3. �.�.^ � ��� � 103l q <br /> 1, Environmental Health <br /> hJ I�P.TA7`��11 PTS <br /> $ 1�S —3` 5' 1( " 1�'_SS t{ 304 E.Weber Avenue,Third <br /> L` Stockton, CA 95202-2708 <br /> 7 <br /> 209-468-3420 <br /> 8 <br /> 9 5t ,. <br /> 10 <br /> Sampler's Name: ` /{ p Relknquished By/Affiliation Date iyme Accepted By!Affiliation D e ITimc <br /> Sampler's Company: tel r 2 29 .'2't7 <br /> r <br /> Shipment Date: <br /> l y 8'oa <br /> Shi meat Method: <br /> Shipment Tracking No: <br /> Special Instructions: Oxygentates=MtBE,TBA,DIPE,ETBI;,TAME,1,2-DCA,EDB,and ethanol <br /> If total lead value is>50 pin analyze for lead by STLC. If STLC value is>S ppm analyze for lead by TCLP. <br /> Custody Seals In Place Yes No Temp Blank Yes • No Cooler Temperature on Receipt ` /C Trip Blank Ye No <br /> rl:n4_:1.,.•:,..,• izn,:+o r+.,,,.,_r moi,.,, ,,,/Vollni,(`r,i,�,_RP/Atlanfir RirltfiPlrl C.'n <br /> /Pink C'.nnv-Consultant/Contractor BP COC Rev.4 10/1/04 <br />