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i <br /> Chain of Custody Record <br /> �' Page_of <br /> Project Name: ARCO 595 UST Removal <br /> RWind <br /> Time: Y C) Tem <br /> '` bp <br /> BP BU/AR Region/Enfos Segment: <br /> BP>Americas>West Coast>Retail>WCBU> Time: 'l t Tem <br /> CA>Ceniral>595>HistoricalBL ditions: <br /> State or Lead Regulatory Agency: San Joaquin County Environmental Management Dept ogical Events: <br /> Requested Due Date(mm/dd/yy): ! a t� ��_ ed: Direction: <br /> Lab Name:Sequoia BP/AR Facility No.: 59S Consultant/Contractor: URS <br /> Address:885 Jarvis Drive Address: 6100 N I Address: 2870 GateWa Oaks Drive,Suite 300 <br /> Morgan Hill,CA 95037 Site Lat/Lon : 38.02/-121.25 Snrrament0,CA 95833 <br /> Lab PM:Lisa Race California Global ID No.: T0607700319 Consultant/Contractor Project No.: 38466562.0093001 <br /> fele/Fax:408.782.8156/408.782.6308 Enfos Project No.: GOBZG-0002 Consultant/Contracfor PM: Vernon Elarth <br /> `-''/AR PM Contact:Paul Supple Provision or RCGP: RCGP Tele/Fax: 916.717.5045/916.679.2900 <br /> tress:P.O.Box 6549 Phase/WBS: 08-Divestment Re ort T e& C Level: Level I with EDF <br /> Moraga,CA 94570 Sub Pliase/Task: 03-Anal ical E-mail EDD To: Denise Ye ursco .coin <br /> Tele/Fax:925.299.8891/925.299.8872 Cost Element: 05-Subcontracted Costs Invoice to: Altant%C RiCh11e1 C�tS'� <br /> Lab Botfle Order No: Matrix Preservative Requested Analysis <br /> ro m <br /> H PA 1>13 � <br /> 1No. Sample Description A o .a` Laboratory No. y o ,9ar"ple oint Lat/Long and <br /> o Comments <br /> 7:1 <br /> 0 C5 <br /> zz� <br /> 65 75 <br /> x X11 o <br /> x Mail a copy of the analytical <br /> 2 �� �=� p L?� report to:Michelle Le <br /> 3b-~ tZ'S5 R3 �? San Joaquin County <br /> 4 P4 t3lo ivy , Environmental Health <br /> 13-57 <br /> b 1 304 E tWeber Avenue,Third <br /> i;4 1 <br /> Stockton,CA 95202-2708 <br /> 7 J1 ��' �3;Z5 v <br /> 209-468-3420 <br /> s <br /> 9 Y3-� (31-95 <br /> to <br /> Sampler's Name: CEf• J Relinquished By/Affiliation nate '111ne m Aceepted y/Afflliatton Date <br /> 1Yare <br /> Salmer's Coatt : t2 e <br /> t.2-�91 t , o <br /> Shipment Date: �' -O <br /> Sl-i ment Method: Jr V <br /> Phi pment Tracking No: <br /> S iecial Instructions_ Oxygentates—MtBE,TBA,DIPE,ETRE,TAME,1,2-DCA,Ella,and ethanol <br /> If total lead value is>50 ppm analyze for lead by STLC. I TLC value is>5 b xn analyze for lead TCLP. <br /> Custody Seals In Place Yes No\_ Temp Blank-V4�'1N'0xJ Cooler•Temperature on Receipt_. TIC Trip Blank Yes No <br /> T)icf:il „fi» - Whifo n....., r t,,..-.,s.., 1 voit.....n nniAri,...i:,,n.,.- ...I., <br />