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Chain of Custody Record Page_of <br /> Project Name: ARCO 595 UST Removal <br /> n-site Time 0 <br /> Temp: <br /> bp BP BU/ARRegion/Enfos Segment: gp>Amei�cas>West Coast>Retail>WCBU> Off-site Time: 1.2Io'D Temp: <br /> CA>Central>595>ifistoricatBL Sky Conditions: C(OQ t)t <br /> State or Lead Regulatory Agency: San Joaquin County Environmental Management Dept. Meteorological Events: <br /> Requested Due Date(mm/dd/yy): AM ' - ;10 O 60 Eind Speed: Direction: <br /> o t„t <br /> Lab Name:Sequoia BP/AR Facility 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/Long: 38.02/-121.25 Sacramento,CA 95833 <br /> Lab PM:Lisa Race California Global ID No.: T0607700319 Con sultant/Contractor Project No.: 38466562.0093001 <br /> Tele/Fax:408.782.81561408-782.6308 mfos Project GOBZG-0002 Consultant/Contractor PM: Vernon Elarth <br /> BP/AR PM Contact:Paul Supple Provision or RCGP: RCOP Tele/1--ax: 916.717.5045/916.679.2900 <br /> Address:P.O.Box 6549 PhaselWBS: 08-Divestment Report Type&QC Level: Level 1 with EDF <br /> Moraga,CA 94570 Sub Phase/Task: 03-AnalyticalE-mail EDD To: Denise Ye ursco .com <br /> Tele/Fax:925.299.8891/925.299.8872 Cost Element: 05-Subcontracted Costs [nvoice to: Altantic Richfield Co. <br /> Lab Bottle Order No: Matrix Preservative Requested Analysis <br /> N <br /> ti <br /> U <br /> Item =y LaboratoryNo. o F d Sample Point Lat/1 ong and <br /> No. Sample Description F A o v H 6 fq a Comments <br /> ,y W J O \ <br /> e, O a OD <br /> o °� P <br /> �^ � � � MFA o o'd3 zf x x � <br /> 1 J - � � ('oM a5'T�E ����i0 �3'� O 7 Mail a copy of the analytical <br /> 2 �-�a (pwt a �- ti:�5 ,3�i 'f report to:Michelle Le <br /> San Joaquin County <br /> 3 <br /> Environmental Health <br /> 4 rnarh"P.nt <br /> 304 E.Weber Avenue,Third <br /> 5 <br /> 6 Stockton,CA 95202-2708 <br /> 7 209-468-3420 <br /> 8 <br /> 9 <br /> 10 <br /> Sampler's Name: �� Relinquished By/Affiliation Datc Time Accepted /Affiliation ate 77me <br /> Sampler's Company. , -OIo 3.35It 12 f <br /> f <br /> FTK <br /> Shipment Date: <br /> Shipment Method: <br /> Shipment Tracking No: <br /> Special Instructions; Ox entates=MtBE,TBA,DIPE,ETBE,TAME,1,2-DCA,EDB,and ethanol <br /> If total lead value is>50 m anal ze for lead b STLC. If, .0 value 1s>5 ppm analyze for lead by T LP. <br /> stody Seals In Place YesNo_ Temp Blank N Cooler Temperature on Receipt s/C Trip Blank Yes_No <br /> «n.:..,f,--,, r o),—gtnn,/Vpllr)w(..env-RP/Atlantic Richfield Co. !Pink Copy-Consultant/Contractor BP COC Rev.4 10/1/04 S <br />