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03o-7t}—�Mh <br /> Page- oo ' <br /> Chain of Custodv RecordOn-site Time Tem <br /> pProject Name 11191 GW MonitoringOff-site Time Tem <br /> k ` BP BU/GEM CO Portfolio• Retail <br /> Sky Conditions G C ar` <br /> BP LaboratorN Contract Number. Atlantic Richfield Co Meteorological Events S.--.%w-7 <br /> Date ...-71,110'S Requested Due Date(mm/dd/yy) '7 � s� and S eed tOPM101-- Direction Lj e...t <br /> Send ToBP/GEM Facilt No 11191 onsultant/Contractor URS <br /> Lab Name SEQUOIA BPIGEM Facility Address 1469 E HAMMER LANE,STOCKTON,CA Address 2870 Gateway Oaks Dr,Ste 300 <br /> Lab Address 1455 N McDowell Blvd Suite D Site ID No 11191 Sacramento, CA 95833 <br /> Petaluma,CA 94954 Site Lat/LonS mail EDD denise_yee@urscorp corn <br /> ahfornia Global ID# T0607700333 onsultant/Contractor Project No <br /> Lab PM An elee CanBP/GEM PM Contact Scott Hooton onsultant Tele/Fax 916-679-23871916-679-2900 <br /> Tele/Fax 707-792-18651707-792-0342 Address 295 SW 41st St,Bldg 13 Ste N onsultant/Contractor PM VERN E <br /> Report Type&QC Level Level 1 Renton,WA 98055 nvoice to Consultant/Contractor BP/GEM jrcle one) <br /> BP/GEM Account No 400-6-21124Tele/Fax 425-251-06891425-251-0736 PIGEM Work Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> c� <br /> o c h A oo uFl <br /> Item No Sample Description Time °O rm.y fl¢ <br /> Sample Point Lat/L <br /> -0 Z Laboratory Noong and¢ <br /> p Comments <br /> V) <br /> Ov o I (✓ o <br /> o 4 $ o e O p07. U � E� cC � <br /> V] V] Q Z A N N <br /> LU oA <br /> 2 A � x X <br /> 3 X <br /> EALS IPITAG'>< <br /> 4 lie o0 a X x O <br /> 5 1724iv X —r' C X x o <br /> 6 PA*!-6 1rfifT ra vu PE TURES-r- <br /> 7 /^rJ-7 3 SV (v >t lC X <br /> 8 <br /> 9 <br /> 10 <br /> Samplers Name AMCt1p W" S.+'Z&Ck-�-1 -Relinquished By/Affiliation ate rme cce ted B /Af bation ate Mme <br /> Sampler's Compan J5 k,i*.( r1,k S&,rkt S % / ` 3 0 l c�plc, 2//s _ Q 3 G <br /> Shipment Date t t{ <br /> Shipment Method —/ "7 <br /> Shtprnent Trackutg No <br /> pecial Instructions Address Invoice to BP/GEM but send to URS for approval -If total lead value is>50 analvze for lead by STLC value is>5 analvze for lead by TCLP <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 Tnp Blank Yes No <br /> Distribution White Copy-Laboratory/Yellow Copy-BPIGEM /Pink Copy-Consulltant/Contmaor BP COC Rev 1 215102 <br />