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Cbain of Custody Record c zsv- �;� TunCl- <br /> bp p <br /> Project Name eco �c� Temp: �o <br /> BP BU/GEM CO Po' olio: Atlantic Richfield Cam n site Time �� Twp; Ga <br /> l� Y ky Conditions: �'/�c,�- <br /> BP Laboratory Contract Number: Meteorological Events: -0-- <br /> Date: ° <r d � <br /> Requested Due Date(mmlddl <br /> yy): Standard TAT gind Spea, Direction—&-- <br /> Send To: PIGEM l aciii Na.: <br /> Lab Name: Se uoia Anal tical �"� Ltant/Contractor.URS Co ration <br /> PIGEM Facili Address: �/ZaAf,•Arr�� c� ddress: 2870 Gatewa Oaks Drive,Suite 300 <br /> b Address: 1455 NkDowell Boulevard, Site ID No. 5 <br /> VT North,Suite D Sacramento,CA 95833 <br /> ite Lat/i,on : <br /> Petaluui>i,Califomail EDD: denise ursco .com <br /> rnia 94934 � lifornia Global ID+b:TD6O �o <br /> Lab PM: An lee Carl sultant/Contractor Project No.: <br /> 13P/GEM PM Contact: (9tS}67929 <br /> onractor Tele/Fax(4]6)479-200p0 <br /> Tele!!'ax;(707)792.1965-(707)792.11342Address: suitant/Cont <br /> [te rt Tme&QC Level: i ultant/Contrtctor PM: <br /> BP/GEM Account No.: voice W. Consultant/Contractor o ircle one <br /> ele/Fax 1?/GEM Work Release No- <br /> Matrix Lab 13crtt3e Order No: Matix Preservatives <br /> Requested Analysis 0 <br /> Item Sample Description Time r <br /> Na Latwrstory No6 $ a 00 <br /> o '^ � o`'io i� .k �' '! Sample Point I.at/I.oug and <br /> o D pQ, a Q N <br /> Comments <br /> d ►� '��,~ x G4 Gq W �/t [ice <br /> 1 ®� <br /> co <br /> 3 J <br /> x y o x <br /> a r x <br /> S x <br /> 6 tom• <br /> - ,�zfXiK-a yp , k <br /> S 'fml� <br /> zcpti- I k z <br /> 9 Wolff <br /> lt? <br /> ampler' Nettle: lL(y �vo%L B iAJIlUnflon tate >mc <br /> ittt ler's Cam : T ,���, SAO" Dnee e <br /> ai anent Date: <br /> rs -tn Lo <br /> ti mens Mctltod• IrneLi <br /> ti mem Tracking No: <br /> pedal Instructions: <br /> istody Seals In Place Yes�No Tetn nature Blank Yes t/No Cooler Temperature oa Receipt J,(a"� Trip Blank Yes-__, ,No <br />