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C?J0�1iz Page—Ln <br /> ld <br /> Chain of Custody Record In-site rime 6zo Tem <br /> bp Project Name 11191 GW Monitormg ff-site Time Tem <br /> BI; BL UENI CO Por tfoliu. Atlantm Richfield Co. 3kyConditions <br /> I3P Libor.ttur3 ( antrwa ?Numl ei. 461000 Aereorol2vcall Events <br /> Requested Due Date(mm/dd/y.) ; 'ind Speed Dtrection <br /> Send ToBP/GEM Facih No 11191Consultant/Contractor URS <br /> Lab Name Sequoia PetalumaBP/GEM Facility Address 1469 E HAMMER LANE, STOCKTON,CA Address 2870 Gateway Oaks Dr, Ste 300 <br /> Lab Address 1455 N McDowell Blvd Suite [) Site ID No 11191 Sacramento, CA 95833 <br /> Petaluma,CA 94954 Site Lat/Lon -mail EDD denis2..yee@urscorp corn <br /> alifornia Global ID 4 T0607700333 onsultant/Contractor Project No <br /> Lab PM Mike GilesBP/GEM PM Contact PAUL SUPPLE onsultant Tele/Fax 916-679-20001936-679-2900 <br /> rele/Fax 707-792-1865/707-792-0342 Address P 0 Box 6549 onsultant/ContractorPM VERN E <br /> P,epon T,,pc&QC Level Level 1 Report&EDF Mora a, CA 94570 nvoice to Consul tant/Coaitrat,tor BP/GEM FCde one) <br /> 13Pi(,rEM Account No 400-6-21124 TeWFax 925-299-8891/925-299-8872 VP/GEM Wort.Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysts <br /> 10o <br /> cc O <br /> cc BOO <br /> Item " C+ x :, $ °° N Sample Point Lat/Long and <br /> Sample Description a Laboratory Na �' UJ N ¢ o <br /> �o Cs v m o 0o F-M ¢ N Comments <br /> t— 00 <br /> s <br /> Lo in O <br /> v3 3 ¢ z° o `' o <br /> ? �' S�C% -..t}Z— */ 'v'SLA,LS IN I ACT <br /> 3 <br /> 4 <br /> Lis- <br /> 6 <br /> 74fS x <br /> 9 <br /> 10 <br /> lam ler's Name KAU &NMA elin uished ft Anliat n ate ime eee ted B /Affiliation ate tme <br /> sampler's Com an 11 L4 Awl J `j 3 31) <br /> ihi meat Date ! J <br /> ihI talent Method <br /> )hl meet Tracking No <br /> 39ecial instructions Address Invoice to BP/GEM but send to URS for avoroval <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> -ustody Seals In Place Yes _No Temperature Blank Yes No Cooler Temperature on Receipt OF/C Trip Blank Yeso <br /> DuUibuuun "hi(c Cup) Labui iLoF) 'wlo.�Copy-BP,6Eh1 /Pink Cupy-Consultant/Contractor BP COC Rev 3 12/15103 <br />