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Chain of Custody Record Page^of <br /> Project Name: ARCO 595 UST Removal On-site Time: 0 Teme: <br /> BP WARRegion/EnfosSegment: BP>Amer'�cas>WestCoast>Retail>WCBU> Off-site Time: =00 Temp: <br /> ' CA>Central>595>HistoricalK Sky Conditions: 0(o t <br /> State or Lead Regulatory Agency: San Joaquin County Environmental Management Dept. Meteorological Events: <br /> Requested Due Date(mm/dd/yy): 00 Wind Speed: Direction: <br /> 10 <br /> Lab Name:Sequoia BP/AR Facility No.: 595 onsultant/Contractor: URS <br /> Address:885 Jarvis Drive Address: 6100 N 1 Address: 2870 Gateway Oaks Drive,Suite 300 <br /> Mor an Hill,CA 95037 Site Lat/Lon : 38.02/-121.'25 Sacramento,CA 95833 <br /> Lab PM:Lisa Race California Global ID No.: T060770319 onsultant/Contractor Project No.: 38466562.0093001 <br /> Tele/Fax:408.782.8156/408.7816308 Enfos Project No.: GOBZG-0002Consultant/Contractor PM: Vernon Elarth <br /> RP AR PM Contact:Paul Supple Provision or RCGP: RCOP Tele/Fax: 916.717.5045/916.679.2900 <br /> dress: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 E-mail EDD To: Denise Yee@urscorp.com <br /> Tele/Fax:925.299.8891/925.299.8872 Cost Element: 05-Subcontracted Costs Invoice to: Altantic Richfield Co. <br /> Lab Bottle Order No: I Matrix Pre3ervative Requested Analysis <br /> I-I'PA v/ 3 <br /> d m n H mple-P at/Long and <br /> Item Sample Description Cd Laboratory <br /> Laboratory No. U pq Comments <br /> Y <br /> 1.1 +1-iba <br /> � zyr1 \ - <br /> �:I-d <br /> Z 8 6d <br /> l _ 'Cl50 1-34 1Mail a copy of the analytical <br /> 2 11:26 x report to: Michelle Le <br /> 3 San Joaquin County <br /> �— Environmental Health <br /> 4 Dd-martment <br /> 5 304 E.Weber Avenue,Third <br /> Stockton, CA 95202-2708 <br /> 7 209-468-3420 <br /> 8 <br /> 9 <br /> 10 IL_J[I <br /> Sampler's Name: ; j v Rel•Iquished By/Affiliation Date Mme kcepted By/Affiliation D to Tine <br /> Sampler's Company; 4 IL <br /> Shipment Date: ILZg:0 <br /> Shipment Method: <br /> Shipment Tracking No: <br /> Special Instructlons: Oxygentutes=MtBE,TBA,DIPE,ETRE,TAME,1,2-DCA EDB and ethanol <br /> If total lead value is>50 ppm analyze for lead by STLC. If STLC value is>5 ppm anal a for lead by TCLP. <br /> Custody Seals In Place Yes No Temp Blank Yes—'INo Cooler Temperature on Receipt T/C Trip Blank Yes No <br /> DD/Aflo f:A V;AlhfiialA f n RP COC Rev.4 104/04 <br />