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Chain of Custody Record Page r of I <br /> s ay h Project Name- BP 11191 OW Quarterly n-site Time 0 Tem Not= <br /> BP MAR Regiori/EnfosSegment- BP>pme=s>MWCoast>Ratail>WC13U3-CA Ott-site Time 100 Temp7t1° — <br /> >Cenhal>11181>Histanal9L Sky Conditions � <br /> State or Lead Regulatory Agency, San Joaquin C mly Frwaenroental Management Dept Meteorological Events ,UTA <br /> Requested Doe Date(mrlr/dd/yy): � �, Winds cd u Direction ,d¢ <br /> Lab Name Sequoia BP/AR FacilityNo 11191 onsultant/Contractor URS <br /> Address 885 Jarvis Drive P/AR Facd Address 1469 F.Hammer Lane,Stookton,CA 95210 dress 2870 Gatt:wa Oaks Drive,Suite 300 <br /> Mor an Hill,CA 95037 Site Lat/Lon NIA Sacramento CA 95833 <br /> Lab PM Lisa Race alifornia OlobaI ID No 70697700333 Co nsultant/Contractor Project No 38466551 <br /> Tele/Fax 408 776 9600/408 782 6308 nfos Protect No 007 W W 0016 Co nstdtanVContractor PM Vernon Marth <br /> BP/AR PM Contact Paul Su le Provision or RCGP Provision Tele/Fax 916 717 5045/916 679 2900 <br /> Address P O Box 6549 Phase/WBS 04-Mon/Remed b Natural Attenuation R ort T e& C Level Level l with EDF <br /> Moraga,CA 94570 Sub Phase/Task 03-AnalyticalE-mail 13DD To Dense Yee umco com <br /> Tele/Fax 925 299 8891/925 299 8872 ost Element 05-Subcontracted Costs [Invoice to Altantic Richfield Co <br /> b Bottle Order No Matrix Preservative Requested Analysis <br /> Ca I <br /> 04 <br /> �I�J139' <br /> ,> ,� o <br /> Ideon Sample Description m b d- Laboratory No 4 � ,; ry V QQ o o nt LatlLong and <br /> A o 0 o °.: I " "o Comments <br /> r� 0 8 Ci <br /> O o�u <br /> co z M ° ,x° N °° <br /> 1 nn 03 " tb�l6 G1 v1 7 X X ~ <br /> 2 MW-2 Z6 to11'� w 3 K X <br /> 3 -� a� �°IL5 <br /> 4 rww-�( DSD 1Q X X Y. <br /> 5 rtiw'S fdlb <br /> 6 - a��a m1ze b x x <br /> L7 NW-17 <br /> 9 Q <br /> 10 <br /> 11 <br /> L IJI <br /> Sampler's Name RdInqulshedBy/A(itllatlon Date Time Accepted By/AitDlation Date Time <br /> S ler's company k 5 ( (601. <br /> Shi Ment Date 4 <br /> Sh1 Ment Method ,f ti• �� <br /> Shipment Trackr No dz -715 <br /> ectal Instructions <br /> Custody Seats In Place Yes No Ternp Blank YesJ No Cooler Temperature on Receipt °F/C iTIP Blank Yes No <br /> Distribution. White Copy-Laboratory I Yellow Copy-BP/Atlantic Richfield Co I Pink Co -Consultant/Contractor BP COC Rev 4 10/1/04 <br />