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"F f lJU"l'"`l) I• L^ Page l of <br /> • <br /> Chain ofCllS [� �( On-site Time i1U Tem <br /> a <br /> Project Name ARCO 760 GW Monitoring of site Time Q �O Tem �- <br /> s13P BU/GEM COC.0 1 ortfolt©: Retail Skv Conditions C( <br /> B11, Laboratory Contract Number- Atlantae Richfield Co Meteorological Events ",V- <br /> IN, Date (J' G Requested Due Date(mai/dd/yy) Cl Uf Wind Speed S-?ItVtj Direction .+ 4 <br /> Send ToSP/GEM Facile No ARCO 760 onsultant/Contractor URS <br /> Lab Name SEQUOIA BPYGEM Facility Address 225 S Cherokee Ln , LODI, CA Address 2870 Gateway Oaks 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 Lai/Long- -mail EDD denise ee urscor com <br /> alifomia Global ID# 70607700245 onsultant/Contractor Project No <br /> Lab PM An elee Can P/GENS PM Contact PAUL SUPPLE onsultant TelelFax 91"79-2387)916-679-2900 <br /> Tele/Fax 707-792-1865/707-792-0342 Address P 0 Box 6549 onsultantfContractor PM VERN E <br /> e ort`C e& C Ler el Send EDF Reports Mora a, CA 94570 nvoice to ConsultanUContractor ok,BPIGEM Imlc ooie) <br /> BP/GEM Account No TelefFax 925-299-88911925-299-8872 P/GEM Work Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> u� <br /> 00 <br /> Lu <br /> Vi <br /> C N W N O <br /> Sample Point Lat/Long and <br /> Item No Sample Description Time 72 5or c aboratory No o ¢m <br /> ¢ Comments <br /> o °° o �-F o <br /> d o Q o V o r �w Q m <br /> � 3 �¢ z x A <br /> � a X, x <br /> 2 .fit w- -7 <br /> 3 1/ - f 1E 0 X Y_ ti <br /> 4 lj �tJ��I?.v� .� Z �,� <br /> 6 A T <br /> 7 N �., <br /> s <br /> AcT <br /> 9 -- <br /> 10 <br /> Sampler's Name h3 tl'v� Relinquished B /Affiliation Date ime cee ted B f Aftili o_n ate Line <br /> I S'0 <br /> Sampler's Com an r <br /> Shipment Hate <br /> Shipment Method <br /> Shi tnent Tracktn No <br /> SDecia{Instructions Address Invoice to BPIGEM but send to URS Cor approval -If total lead value is>50 analvze for lead by STLC value is>5 analyze for lead by TCLP <br /> RUN 8260 ANALY IES IN ONE BATCH ANALYSIS <br /> ustody Seats In Place Yes _No Temperature Blank Yes X No Cooler Temperature on Receipt °FIC Trip Blank Yes X No <br /> Dismbution Whae Copy Laboratory, Yepow Copy-BP,GEht /Pini.Copy-ConuulianYContractor 8?COC Rev 1 215102 <br />