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Pagc_ L of L �I <br /> Chain of Custody Record n site Time tem <br /> \ M Project Name ARCO 760 GW Monitoring site Time t"f Tem <br /> bp BP BU/GLM CO Pottfttito. Athintic RAch etd Co. s Conditions <br /> 131' Laboratorf Contrast Number. 461000 Meteorological Events <br /> Requested Dae Date(mm/dd/yy) ffind S ed 64 Direction <br /> Send To BPIGEM Factlt No ARCO 760 onsultant/Contractor URS <br /> Lab Name Sequoia PetalumaBP/GEM Facility Address 225 S Cherokee Ln , LODI, CA Address 2870 GatewayOaks Dr, Ste 300 <br /> Lab Address 1455 N McDowell Blvd Suite D Site ID No ARCO 760 Sacramento,CA 95833 <br /> Petaluma, CA 94954 Site Lat/Lon -mail EDD denise ee ursco corn► <br /> California Global ID# T0607700245Consultant/Contractor Project No <br /> Lab PM Mike GilesBP/GEM PM Contact PAUL SUPPLE Consultant Tele/Fax 916-679-2000/916-679-2900 <br /> Ttlr./Fax 707-792-18651707-792-0342 Address P O Box 6549 onsultant/Contmctor PM VERN E <br /> Re rt I l,&QC Level Levet I Re rt&EDF Mora a,CA 94570 11rivoice to Consultant/Contractor BPIGEM ircie one) <br /> BP/GEM Ac,-cunt No rele./Fax 925-299-88911925-299-8872 P/GEM Work Release No <br /> Lab Battle Ordcr No Matrix Preservatives Requested Analysts <br /> w <br /> If, N (y <br /> � fir, <br /> x '0 .0 000 N b Sample Point l.at/Long and <br /> Item <br /> Sample ge±cnptton Laboratory IVa o F Q c ¢ m °O 1.0 Comments <br /> r° o 00 <br /> L ( Q O of �j <br /> cd <br /> z u n L-1 © w <br /> l <br /> mk�l Nbr Sbl2S i <br /> z -1 111D X <br /> 3 - <br /> ri <br /> yC <br /> s Il_. <br /> CO <br /> CO <br /> 7 <br /> aLel 3� <br /> L <br /> H19) c• Ia -,,, <br /> l0 <br /> Sam let's Name �t ehn ursb By/'kMil tion ate Time cce ted By IAM liahon ate rine <br /> am ler's C.om an '�.K <br /> j t ) c b 610— <br /> Shipment Date <br /> Sht meat Method <br /> 'ht rnent Tracking No <br /> &ectal Instructions Address invoice to BP/GEM but send to URS for approval <br /> RUN 5260,ANALYTES IN ONE BATCH ANALYSIS <br /> 'Custody Seals In PlaLe Yes No� - Temperature Blank Yes No Cooler Temperature on Receipt °F1C Trip Blank Yes No <br /> Di�ir,bUtLUJI til Birt,t.up? Labor,atui� t OWN Copy-BP/GEM I Pink Copy COriwltant/Cuntractor BP COC Rev 3 [visra3 <br />