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Chain of Custody Record Page--of <br /> bp <br /> Project Name: ARCO 595 UST Removal On-site Time: Q Tem <br /> RP BU/ARRegion/Enfos Segment: gp>Americas>West Coast>Retail>WCBU> <br /> Off-site Time: Temp: <br /> CA>Central>595>HistoficalBL Sky Conditions: <br /> State or Lead Regulatory Agency: San Joaquin County Environmental Management Dept, Meteorological Events: <br /> Requested Due Date(mm/dd/yy): *-2-G7 O Wind Speed: Direction: <br /> Lab Name:Sequoia BP/AR Facility No.: 595 Consultant/Contractor: URS <br /> Address:885 Jarvis Drive Address: 6100 N 1 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.: T0607700319Consultant/Contractor Project No.: 38466562.0093001 <br /> TeWFax:408.782.8156/408.782.6308 En fos Project No.: GOBZG-0002 onsultant/ContractorPM: VemonElarth <br /> BP/AR PM Contact:Paul Supple Provision or RCOP: RCOPTele/Fax: 916.717.5045/916.679.2900 <br /> Address:P.O.Box 6549 Phase/WBS: 08-Divestment Report Type&QC Level: Level 1 with EDF <br /> Mora a,CA 94570 Sub Phasell'ask: 03-Analytical &snail EDD To: Denise Yee@urscorp.com <br /> Tele/Fax:925,299.8891/925.299.8872 Cost Element: 05-Subcontracted Costs Invoice to: Altantic Richfield C <br /> Lab Bottle Order No: Matrix Preservative Requested Analysis <br /> Itent o a �" _ o n ample-Pofnt Lat/Long and <br /> Sample Description LaboratoryNo. <br /> No. E- A o U N o Comments <br /> vt * w zz <br /> rn 7 x x as � <br /> 1 VS- Mail a copy of the analytical <br /> 2 �S 1 _ 6 14,3 Y �y >, report to:Michelle Le <br /> 3 ��_ �►�; 6,�j14f— San Joaquin County <br /> 4 �y ` Environmental Health <br /> hJ DARTIAI iM11"t <br /> 5 o 04 E.Weber Avenue,Third <br /> 6 1�>r" L1 l/ CS�L15 { y X Stockton, CA 95202-2708 <br /> 7 209-468-3420 <br /> 8 <br /> 9 5i <br /> 10 <br /> Sampler's Name: /j o Rel' quished By/Affiliation Date Tlnte Accepted By/Affiliation D e TYme <br /> Sampler's Comp , c'7 V=;-- <br /> Shipment <br /> Shi ment Date: 12 -•Z .-r:� $ <br /> Shi ment Method: <br /> Shipment Tracking No: <br /> S ecial Instructions: Ox gentates=MtBE TBA DIPS,ETBR,TAME,1,2-DCA,F,DB,and ethanol <br /> If total lead value is>50 ppm analyze for lead by STLC. If STLC value is>5 ppm analyze for lead by TCLP. <br /> Custody Seals hl Place Yes_No Temp Blank Yes_No Y, Cooler Temperature on Receipt 5aTIC Trip Blank Yee No <br /> Tlietrihntinn Whi#e Cnnv-T ahnra ry/Yellow Cow-BP/Atlantic Richfield Co. /Pink Copy-Consultant/Contractor BP COC Rev.4 10/1/04 <br />