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Chain of Custody ][record Page of_. <br /> bp <br /> Project Name: ARCO 595 UST Removal On-site Time: '3Q Tem <br /> 5 BP MAR Region/Enfos Segment: BP>Americas>West Coast>Retail>WCBU> Off-site Time: 4 1 LS Temp: <br /> CA>Ceniral>595>HistoriglBL Sky Conditions: Clc)ktov <br /> State or Lead Regulatory Agency: San Joaquin County Environmental Management Dept. Meteorological Events: 1 <br /> Requested Due Date(mm/d(/yy}: O b Wind Speed: Direction: <br /> • v�t <br /> Lab Name:Sequoia BP/AR FacilityNo.: 595Consultant/Contractor URS <br /> Address:885 Jarvis Drive Address: 6100 N I Address: 2870 Gateway Oaks Drive,Suite 300 <br /> Morgan I-Iill,CA 95037 Site Lat/Long: 38.02/-121.25 Sacramento,CA 95833 <br /> Lab PM:Lisa Race California Global ID No.: T0607700319 Consultant/Contractor Project No.: 38466562.0093001 <br /> Tele/Fax:408.782.8156/408.782.6308 Enfos Project No.: GOBZG-0002 Consultant/Contractor PM: Vernon Elarth <br /> BP/AR PM Contact:Paul Supple Provision or RCGP: RCOP Tele/Fax: 916.717.5045/916.679.2900 <br /> Address:P.O.Box 6549 Phase/WBS: 08-Divestment Report Type&- C Level: Level I with EDF <br /> Mora a,CA 94570 Sub Pliase/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: Matrix kreservative Requested Analysis <br /> N <br /> H <br /> d <br /> Ci <br /> Item " �' v W� H b Sample Point Lat/Long and <br /> No. Sample Description Laboratory No. o [- <br /> Comments <br /> 0 to S o o" P4 b a <br /> g Q Mk'Ao03Z zCI x <br /> l ( ; Mail a copy of the analytical <br /> 2 IPis-ri5 � 2 <br /> t report to:Michelle Le <br /> S� � 3• oz <br /> 3 SL -�.j ($;3C) San Joaquin County <br /> Environmental Health <br /> 11rnarMiranf <br /> 5 Pn" Q�(� 15:q �G 0 r 2 304 E.Weber Avenue,Third <br /> 6 q" "" f i� �'�5 ay FT- <br /> Stockton,CA 95202-2708 <br /> 7 '" "� 15.r$a o-7 209-468-3420 <br /> 8 <br /> 9 <br /> 10 <br /> Sampler's Name: Relinquished ByIAffiliation Date lynx Accepted By/Affiliation Dae 'Dire <br /> Sampler's Company: <br /> Shipment Date: <br /> Shipment Method: <br /> Shipment'Tracking No: <br /> S ecial Instructions: Ox y!vntntes=MtP.E,TBA,DIPI?,1'TB ;,TANIF',1,2-DCA,EDll,arul ethanol <br /> If total lead value is>50 ppin anaivze for lead by STLC. ljP C value is>5 >prn analyze for lead by TCLP. <br /> C�rstody Seals In Place Yes No Temp Blank Yes to Cooler Temperature on Receipt /C "Trip Blank Ye. _No <br /> rti,.t�a,.,rc�„• \zlh to f n ,,-T at,n �tnni/vann,�,['nnv_Rp/A antic Rir.iiir l(`,n /Pink Cnnv-Cnnsnitant/Contractor BP COC Rev.4 10/1/04 <br />