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Page 2 of 3 <br /> Chain of Custody Record leteorological <br /> n-SIte Tine Temp <br /> Project Name 3004 Groundwater Sampling event site Time Temp <br /> BP BU/GEM CO Portfolio: Atlantic Mchflold Company y Conditions <br /> BP Laboratory Cacti act Number: tC G 1 ou a Events <br /> Date. -7-yy-e�j Requested Due Date(mm/ddlyy)_&Z-oq,_- Wind Speed Direction <br /> Send To: BP/GBM Facility No ARCO Statlan 4932 Consultant/Contractor SECOR <br /> I.ab Name. SEQUOIA ANALYTICAL P/GEM FacilityAddress 16 E Harding Way,Stockton Address 3017 Kilgore Rd.,Ste.100 <br /> fab Addi ass 885 Jarvis Drive Site ID No Rancho Cordova,CA 95670 <br /> Ma an Hill,CA 95037 Site L ut/Lo a maxi EDD knesorns®secor coin <br /> California Global ID#f T0607700237 ConsnItaut/Contractor Project No 776P 54852.04.0377 <br /> Lab PM Lisa Race BMW PM Contact Chuf Paul Supple onsultant/Contractor Tele/Fax 916 861.0430 <br /> TeltlFax 916 9219600 dress P O.Box 6249 Consultant/Contractor PM R Benkosky <br /> R e& Level Moraga,CA 94570 voice to ConmAtant/Contractor or BP/GEM <br /> BP/GEM Account No Tele/Fax- 925.299.8891 P1GBM Work Release No 63964 <br /> Lab Bottle Order No Mntrix Preservatives Requested Aualys3s / <br /> Item " a ong and <br /> No Sample Description Time S3 Laboratory No pC Comments <br /> o +4 `,3 � <br /> O <br /> a qq G A � CJ u fa <br /> CZ] V co a z x x as ra <br /> 9 MW-9 , X 3 X X X 37 9669667/ �-1212951495 <br /> a 10 MW-10 7� X 3 X X X 37 96793921-121 294672 <br /> 11 -11 , X N 3 X X X 37 9682161 I-121293906 <br /> 12 X 37 9672148/ -121294744 <br /> 13 -1 f X 3 X X X 37 9672403/ -121 2945726 <br /> r14 W-2 17414-01 #:3 O X 33 x X X 37 9675396/ -121,294295 <br /> W-3 to io3a X / 3 X X X <br /> x,16 -6 p-<� ��/c X C(- 3 X X X 37 96750831 -121294547 <br /> Sampler's N Relln uld"B /Affiliation toTim Accepted /Aftiliatlon to 0.0 S lees Co an 6 �'10 <br /> 2ffmcntDatr <br /> §hMment Method <br /> Shipment Tracking No <br /> ectal Instructions <br /> +tody Seals In Place Yes No Temperature Blank Yes No Cooker Temperature on Receipt oFIC <br /> Distribution. Wlnte,Copy-Laboratory I Yellow Copy-BPIGBM /Pink Copy-ConsaitaatlCo�ractoI BF COC Rev i 215M2 <br />