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• Page o <br /> ' . Chain of Custody RecordOn-site Time: Tem : <br /> bp Project Name Q�r� S4/S' <br /> _ ff--site Time: Tem <br /> FSP l3UIGE11VI CO Portfolio: Atlantic Richfield Co. Sky Conditions: <br /> BP Laboratory Conti-act Number: Meteorolo 'cal Events: Prlj <br /> Hate: 4 NL03 Requested Due Date (mmlddlyy) Wind 5 eed: Direction:F <br /> Send To: BP/GEM Facility No.: Consultant/Contractor: URS <br /> Lab Name: SEQUOIABP/GEM Facility Address: 1617 W. FREMONT ST, STOCKTON, CAAddress: 2870 Gateway oaks Dr., Ste 300 <br /> Lab Address: 1455 N. McDowell Blvd. Suite D Site ID No. ARCO 5450 Sacramento, CA 95833 <br /> Petaluma, CA 94954 Site L e-mail EDD: denise_yee@urscorp.com <br /> California Global IDV: T0607791886 Consultant/Contractor Project No.: <br /> Lab PM: An elect Cari BP/GEM PM Contact: PAUL SUPPLE Consultant Tele/Fax: 916-679-23871916-679-2900 <br /> Tete/Fax: 707-792-1865/707-792-0342Address: P.O. Box 6549 Consultant/Contractor PM: VERN E <br /> e ortT pe&QC Level: Send EDF Reports Mora a, CA 94570 Invoice to: Consultant/Contractor oBP/GE ircte one) <br /> BP/GEM Account No.: Tele/Fax: 925-299-88911925-299-8872 11BP/GEM Work Release No: <br /> Lab Bottle Order No: Matrix Preservatives Requested Analysis <br /> uL <br /> L Om <br /> a7 v, N W r!] <br /> X O rz Q <br /> Cc <br /> m Sample Point Lat/Long and <br /> Item No. Sample Description Time dSr n Laboratory No. Comments <br /> _ o ° Q p _ o <br /> 'a 1.L_ p Al U 0�.. 0. S F- PW, N N <br /> I 111 -J 1.3 JCC <br /> 2 <br /> 3 1 LTO — <br /> 4 <br /> 5 Ly]'A.0 T <br /> 6 cur <br /> 7 <br /> $ ,,kyFJ(TEMPI T I c <br /> 9 <br /> IO <br /> Sam ler's Name: Relinq uished By I Affiliation a[e ime cce ! ffiliation Date Time <br /> Sampler's Com an Re <br /> Shipment Date: ✓� s-o3 ` S C 3 l5`+ <br /> Shipment Method: <br /> Shipment Tracking No: <br /> necial Instructions: Address invoice to BP/GEM but send to URS for approval <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt of/C Trip Blank Yes No <br /> Distribution: White Copy-Laboratory I Yellow Copy-BP/GEM I Pink Copy-Consul tant/Contractor BP COC Rev.1 215102 <br />