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• Ot(o�Z -$F/_ � Page_( ` <br /> Chain of Custody Record -site Time 115-0 Tem qo° <br /> bp Project Name ARCO 760 GW Monitoring Off-site Time is/() Tem o' <br /> S€ <br /> it BP BU/GEM CO Portfolio: Retail k Conditions c{ca,r <br /> C BP Laboratory Contract Number. Atlantic Richfield Co. 'vleteorolo Kcal Events <br /> ate i`- to* Requested Due Date(mm/dd/yy) Ind S eed S... Direction ptv✓ <br /> Send To BPIGEM Facili No ARCO 760 ConsultandContractor URS <br /> Lab Name SEQUOIA BP/GEM Facility Address 225 S Cherokee Ln ,LODI, CA Addrm 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 Lat/Lon -mail EDD denise yee@urscorp cam <br /> alifornta Global ID# T0607700245 onsultant/Contmctor Pro)ect No <br /> Lab PM An elee CanP/GE,M TPM PAUL SUPPLE onsultant Tele/Fax 916-679-23871916-679-2900 <br /> Tele/Fax 707-792-18651707-792-0342 Address P 0 Box 6549 onsultant/Contractor PM VERN E <br /> EtRort T e& C Level Level I Mora a,CA 94570 nvoice to Consultant/Contractor BP/GEM rcia aic) <br /> BP/GEM Account No ole/Fax 925-299-88911925-299-8872 P/GEM Work Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> Item No Sample Description Time -c5- cr Laboratory Noo CO C14 :gU) Sample Point Lat/Long and <br /> w - p < Comments <br /> O a7 O C O O x ¢ W o <br /> 3 W• rKo ,� ,� x x <br /> 4 T8- o- l 2oa4 -C x ,c x oµ H e l] <br /> 5 <br /> 6 , <br /> 7 LJ <br /> 8T T, <br /> 9 <br /> 10 <br /> aril lei's Name 5',9+4- flq t:,,i Relinquished Bv1 Affiliation Date rime ce ted By/Affihanon Date ime <br /> Sampler's Com an tic 'Te r ,ce 12 } <br /> hi went Date <br /> Vhiprnent <br /> mens Method <br /> Trackui Noal Instructions: Address Invotce to BP/GEM but send to URS for approval -If total lead value is>50 analyze for lead by STLC,valve is>5 analyze for lead by TCLP <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> dy Seals In Place Yes No _ Temperature Blank Yes No Cooler Temperature on Receipt 9F/C Trip Blank YeL&=No <br /> Distnbution White Copy-Laboratory 1 Yellow Copy-BP/GEM /Pink Copy-Consultant/Contractor BP COC Rev 1 215162 <br />