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•'tre—L <br /> Chain of Custody Record on-site Time: Ivy T'.MP: <br /> :r Project Name Statin Flo. 54s o1�site Time: I30v Temp; 36 <br /> BP BU/GENM COori a io. Atlantlo Richfield Company Sky Condidons: S <br /> BP Laboratory Contract Number: Mdeorological Events:.N 10 <br /> Date: ,3 11 Q Requested Due Dale: �w�G p � '�' wilul Sint NIA Direcdoit NIA <br /> Send To., BPIOE l Facility No.: 548Cansultatu/Conuactor. URS C2!E. <br /> Nude:San <br /> Lab NuTL-SP(Pleasta BPIC;EM FacA4 Addwsa: 1612 W.Hammer Lane Stockton Address: 2870 GatewayDales Dr.,Ste 300 <br /> Lab Address: 1220 Lane Site ID leo. ARCO 548 Sactnmento,CA 95833 <br /> Pleasanton Ca 94566 ite LauLon . e-mail EDD: No EDF <br /> aUciTlia Global ID 0: T0607700131 C <br /> t' <br /> owuhma Pm'ect No.: 38466082-4)0327 <br /> Lab P1vL- Afsaneh S ur BP/GEb4 PVI CorJact_ Paul Supple onsultmiTele/Ftax:916-679-2C00/679-290D <br /> O/679-290D <br /> 925.4&4.1919/]25.484.3096 ddmss: P.O.Box 6549 omulwa PM 'VcnmAElarth-916.679.2299 <br /> R ort e& C Level: Level t Mors a,CA 91570 Invoice to: BP/GEM <br /> BPIOEt41 Account No.: elell�ax: 925.299.6891 1925.299.8872 MEM Work Release No: <br /> Lab BntdeOrder No: N1 rix Preservatives Requested An*sty <br /> Item q Sample Point Lat/Loug anti <br /> e Sample Description Time Laboratory No. S Cot�ents <br /> yu, m <br /> 3 y z x x w c�a 0 <br /> 2 Cat Air x 1 X x X <br /> 3 EFF Air 1 1 x t x x x <br /> 4 <br /> S <br /> 6 <br /> 7 <br /> a <br /> 9 <br /> Sunpler�Name: ed� a,,If R u6hedBT/A(f3h loo ;)�hJFLA— <br /> tate �loacptedByf�11titlatlon ate is <br /> S less Company URS C oraliolt VK I L?i — <br /> Sbi rent Dale: tt v k <br /> Shi nt Melhod: ,f <br /> Shipment Trackin No: (i�u7 <br /> 5 erlal rnstractionv: <br /> Custody Seals In Place Yes_No—� Tcr erature Blank Yes_No Cooler Temperature on ReceiptaF/C Trip Blank Yrs______ ]No&E <br /> Dislribulim. White Copy-Laboratory/Yellow Copy-BPIGEM /Pink Copy-Cwsultant/Coutractor DP CDC Rev.1 7!5!63 <br />