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r Page—L of I <br /> Chain of Custody Record. �' n-sire Time 6r4s� Tem <br /> Project Name ARCO 760 GW Monitoring__ ft-site Time p 14 Temp zj�62 <br /> b p <br /> F <br /> 73Y BUfGI:��'>< COPortfolio Retail Sky Conditions <br /> BP 1,aborataty Contmt itiutuber Atlantic Richfield Co. L:nd: <br /> lo-ical Evtnts R <br /> DdA- <br /> ate ty k-31��t Requested Due Date(tnm/dd/)y)�� Led >A Direction <br /> Send To P/GEM Facility No ARCO 760 PnsultanXontractoT URS <br /> Lab Name SEQUOIA PIGEM Facrlt Address 225 S Cherokee Ln , LODI, CA Address 2870 Gateway Oaks Dr,Ste 300 <br /> Lab Address 1455 N McDowell Blvd Suite D Siw ID No ARCO 760 Sacramento, CA 95833 <br /> Petaluma,CA 94954 Site Lat/Lon -mail EDD denise_ye&urscorp corn <br /> California Global ID# 70607700245 onsultanKontr actor Projea leo <br /> Lab Pial An glee Can BP/GEAI PM Contact PAUL SUPPLE Consultant f ele/Fax 916-679-2387/916-679-2900 <br /> onsultant/Contractor PM VERN E <br /> lele'Tax 707-792-18651707-792-0342 Address P 0 Box 6549 <br /> Re ort l- e&QC Level Send EDF Reports Mora a,CA 94570 In%otce to COnStlltaiaXontractor BPIGlr 4 �rcle oaa) <br /> BP/GEM Account leo ele/Fax 925-299-88911925-299-8872 113PIGEM Work Release No <br /> Lab Bonle Order No Matrix Preservatives Requesfed Analysis <br /> SW <br /> Cq <br /> c 'O ° <br /> m Sample Point LatlLong and <br /> Item No Sample Description Time o Laboratory No 0 u v oO Comments <br /> a� 0 s <br /> V) 3 ¢ z a x x Q w Q <br /> 3 TO - Vt t na qr f -Z. ?` A <br /> 4 <br /> 5 H4 <br /> 6 <br /> 7 1i. <br /> ll <br /> 8 � <br /> 9 <br /> 10 <br /> Sampler' Name telin uished B l Afrliation Date tine q&AtedBY1AJELhat1on ate ime <br /> Sam ler's Company i h >G t 30 <br /> Sji meat Date '. <br /> Sht mint Methodf ! !� <br /> Shipment Tracking No <br /> Soecial Instructions Address invoice to BPICEM but send to URS for aiinroval -if total lead value is>50 analvze foi lead by S7 LC value is>5 analyze for lt.ad by l CLP <br /> RIJN 8260 ANALYTES rN ONE BATCH ANALYSIS <br /> Custody Seals I ace Yes �C No Temperature Blank Yes No pler Temperature on Receipt °F1C Trip Blank Yes No <br /> C,s 1k hticCop) -L*Or tr)/Yello%+COP)-BP GEM t P11k COP% COn�IIttani/Coutractor 6P CAC Rev 1 215102 <br /> M M = r r M M M = W = W M M M <br />