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• • <br /> of=:A I <br /> Chain of Custody Record On-site Tame Temp 1[ <br /> Project Name 3004 Groundwater Sampling Event ff site Time TMV 1f <br /> BP BU/GEM CO Portfolio: Atlantic Richfield Company Sky Conditions f <br /> BP Laboratory Contract Number: eteomlogical Events if <br /> Date: -7.1V-cjA <br /> Requested Due Date(mm/dd/yy) an1=2V and Speed Direction. <br /> T <br /> Fed To: Flt/ea <br /> Famh No AACU Station 4932 Consultant/Contractor SECOR <br /> Name SBQUOIA ANALYTICAL Facih Ad&ass 16 E.Rarrdin Way,Stockton Address 3017 Kilgore Rd.,Ste.100 <br /> Address 885 Jarvis Drrve No. Rancho Cordova;'CA 95670 <br /> Mo an Rdl,CA 95037 FDD kflesoras®secor com <br /> ifolwa Qlobal lb# IM607700237 nsaltant/contmetor Project No 77aP.54032.A4&W <br /> Lab PM. Lisa Race P/GSM PM Contact: Chia Pdui Supple tant/Contractor TeIe/Fax 916 861.0430 <br /> Tele/Fax. 408 776.9600 ss P O Boz 6249 nsultant(conhuctor PM R Benkasky <br /> R rt &QC Level Mora CA 94570 Invoice to ConmItanticonbutor or BP/GAM <br /> BP/GSM Account No ele/Fax 925 299.8891 P!(}BM Work Release Pio 63 <br /> Lab Bottle Ender No 1Vlatnz Preservatives Requested Analysis <br /> w o <br /> ug and <br /> item Sample Description Time ar Y! Laboratory No n 1 o Comments <br /> 00 <br /> o O - kAp�A oNo <br /> U a ire IM <br /> a m z ; xIM0 <br /> �a o� g d <br /> 1 MW-1 i� X �0! 3 X X X 37 9671882/ -1212944417 <br /> 2 -2 7!K X ►v 3 X X X 7 9668945/ -1212945877 <br /> 3 MW-3 �a o X s3 3 X X X 37 9671333 I -1212948513 <br /> ..a3 MW-4 -r-i X 3 X X X379672209/ -1212946063 <br /> —3 MW-5 c X bf 3 X X X 37 9672874/ -1212938888 <br /> 3 -6 X b 3 X X X 37 9675446/if -1212943262 <br /> `7 -7 7 X m 3 X X X 379674623/ .-1212947937 <br /> g -8z4gg X L2 <br /> 3 X X X i LL 37 9667290 -1212944410 <br /> Sampler's Name Relmquished B /AMUntion ate ted B Affiliatio Aute me �t <br /> sa lee's22M!ff ir - - / —> < ' <br /> ShiLpment Date �� aA 7 -f0 <br /> Sin meat Methodf <br /> Shipment Tracking No l <br /> C ectallnstructions• � <br /> lstady Seals In Place Yes No Temperature Blank Yes No Cooler Temperattuc on Receipt - aF/� <br /> Distribution. Wlnte Copy-Laboratory/Yellow Copy-BP/GEM /Pink Copy-Consultant/Contractor BP COC Rev.1 x15!02 <br /> I <br />