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Chain of Custody Record Page_of <br /> Project Name: ARCO 595 UST Removal On-site Time: ;30 <br /> Temp:bp <br /> BP BU/ARRegion/Enfos Segment: BP>Americas>West Coast>Retail>WC©U> Off-site Time: Temp: <br /> CA>Central>595>Historical0l Sky Conditions: 0040y <br /> State or Lead Regulatory Agency: San Joaquin County Environmental Management Dept. Meteorological Events: i <br /> Requested Due Date(mm/dd/yy): t')b Wind S eed: Direction: <br /> 14 C,Lt <br /> Lab Name:Sequoia BP/AR Facility No.: 595Consultant/Contractor URS <br /> Address:885 Jarvis Drive Address: 6100 N I Address: 2870 Gateway Oaks Drive,Suite 300 <br /> Morgan Hill,CA 95037 Site Lai/Long: 38.02/-121.25 Sacramento,CA 95833 <br /> Lab PM:Lisa Race California Global ID No.: 70607700319 Consultant/Contractor Project No.: 38466562.0093001 <br /> TelefFax:408.782.8156/408.782.6308 Enfos Project No.: GOBZG-0002 Consultant/Contractor PM: Vernon Elartb <br /> BP/AR PM Contact:Paul Supple Provision or RCOP: RCOP Tele/Fax: 916.717.5045/916.679.2900 <br /> Address:P.O.Box 6549 Phase/WBS: 08-Divestment Repo Type&QC Level: Level 1 with EDF <br /> Moraga,CA 94570 Sub Phasefrask: 03-Analytical E-mail EDD To: Denise_Yee@urseorp.com <br /> cic/Fax:925.299.8891/925.299.8872 Cost Element: OS-Subcontracted Costs Invoice to: Altantic Richfield Co. <br /> Lab Bottle Order No: Matrix Preservative Requested Analysis <br /> G <br /> Item ° n Sample Point Lat/Long and <br /> No. Sample Description Ro Laboratory No. U o <br /> o O' O O Comments <br /> a MNA003Z '4 x >4 � <br /> 1 J•'Z Mail a copy of the analytical <br /> 2 t 1:51z5 oL 2 report to: Michelle Le <br /> 3 � 0.'30 fj3 2 x San Joaquin County <br /> 4 6 IP -- 535 0`I EnvironmentalI3ealth <br /> n"wrfmnnf <br /> 5 Pn t—('� f pqC r 304 E.Weber Avenue,Third <br /> 6n`I" L5-q5 yr ay Stockton,CA 95202-2708 <br /> 7 Q' '" ��<5D f 209-468-3420 <br /> 8 <br /> 9 <br /> 10 <br /> Sampler's Name: Relinquished By/Affiliation Date I7mc Accepted By/Affiliation Dae Ume <br /> Sampler's Com an : <br /> Shipment Date: <br /> Shipment Method: <br /> Shipment Tracking No: <br /> Special histructions: Ox gentates=MtBE,TBA,DIPS,ETBE,TAME,1,2-DCA,EDB,and ethanol <br /> If total lead value is>50 run analyze for lead by STLC. It C value is>5 ppm analyze for lead by TCLP. <br /> Custody Seals In Place Yes No Temp Blank Yes o Cooler Temperature on Receipt 6'p/c Trip Blank Ye No <br /> diel-r;h„t;nn whifa('nnv-T ahn tnry/VRllnw f-:nnv-RP/A antic Ric. d Co. /Pink Conv-Consultant/Contractor BP COC Rev.4 10/1/04 <br />