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• Page <br /> Chain of Custody Record On-site Time: Tem : <br /> Project Name <br /> •�, off-site Time: Tem <br /> BP BU/GEM CO Portfolio: Sky Conditions: <br /> BF Laboratory Contract Number: Imeteorological Events: <br /> Date: 1/g� Requested Due Date(mm/dd/yy) JWind Speed: Direction: <br /> Send To_-"'---�t BP/GEM Facility No.- Consultant/Contractor.. URS <br /> Lab Name: SEQUOIA BP/GBM Facili Address: 1617 W.FREMONT ST, STOCKTON CAAddress: 2870 Gateway Oaks Dr., Ste 300 <br /> Lab Address: 885 Jarvis Dr. Site ID No. ARCO 5450 :Sacramento, CA 95833 <br /> Morgan HILI, CA 95037 Site Lat/Lo -mail EDD: den1se_yee(Wursccrp.ccm <br /> ifarnia Global ID#: Consultant/Contractor Project No.: .15-00005450.01 00427 <br /> Lab PM: Laton a Pelt BP/GENT PM Contact: PAUL SUPPLE Consultant Tele/Fax: 916-678-2387!916-679-2800 <br /> Tele/Fax: 408-778-960111408 782-8308 Address ConsuItant/Cont actor PM: VERN ELARTH <br /> IZe ort 11pe&QC Level:Send EDF Egorts lnvoiee to: Consult¢nt(Conductor nr P/C,EM i cle one) <br /> BPIGEM Account No.: Tele/Fax: BP/GEM Work Release No: <br /> Lab Bottle Order No: Matrix Preservatives Requested Analysis <br /> w ' <br /> Ln <br /> La <br /> Item No. Sample Description Time o a Laboratory No. C samp1e int Coommeottss ong and <br /> L <br /> 0 Ca <br /> l ZO <br /> 2 Jw A/- <br /> 3 'M4)-v <br /> 4 <br /> 5 <br /> 6 <br /> 7 i <br /> 8 <br /> 9 <br /> 10 <br /> ]am ler'5 Nmg. Re11A1SCdS /Alillatia PAtnme Ae�etedS /Alliatino ate me <br /> iam ler'5 Com ail . <br /> ;Tri ment Date: <br /> illi ment Method: <br /> !lu meat Tracldn No: <br /> ;pedal Instructions: Address Invoice to BPIGEM but send to URS for approval <br /> ;ustady Seals In Place Yes No <br /> Temperature Blank Yes No Cooler Temperature ou Receipt oFIC Trip BIank Yes No <br /> Distn'hutim. White Copy-Labomtory I Yellow Canv-BPIGEM 1 Pink rnnv-r'n-nat0ndrn"hMetnr <br />