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FFra W, �s�5 'w onoco .. Hips Chain Of Custody Record I <br /> 'S <br /> ConocoPhIllips Site Manager, <br /> 1220 Quarry Lane INVOICE REMITTANCE ADDRESS: <br /> CONOCOPHILLIPS DATE: <br /> Pleasanton, GA 94566 Attn: Dee Hutchinson <br /> 3611 South Harbor,Suite 200 A PAGE: of <br /> (925)484-1919 (925)484-1096 fax Santa Ana,CA. 92704 <br /> COMPANY' Valid Value ID: CONOCOPHILLIPS SITE NUMBER GLOBAL ID NO.: <br /> TRC I 734z�-176 <br /> ADDRESS: SITE ADDRESS(Sirea(and City): CONOCOPHILLIPS SITE MANAGER: lk)7 <br /> 21 Technology Drive,Irvine CA 92618 <br /> ECT GO RT <br /> PROJECT (Hardcopy or PDF Report to): <br /> Ariju Farfan EDF DELIVERABLE TO(RF or Designee): E-MAIL: <br /> NONE'0- <br /> N <br /> TELEPHONE: FAX! E-MAIL: <br /> Peter Thomson,TRC F949-341-7408 <br /> 949-341-7440 949-753-0111 afarfan@trr-solutions.com pthomson@trcsolutions.00rn <br /> SAMPLER NAME(5)(Print): CONSULTANT PROJECT NUMBER <br /> 41050001/FA20 REQUESTED ANALYSES <br /> TURNPoROUND TIME(CALENDAR DAYS): <br /> 14 DAYS [3 7 DAYS 0 72.HOURS [3 48 HOURS M 24 HOURS E3 LESS THAN 24 HOURS <br /> IL <br /> U) -j <br /> & FIELD NOTES: <br /> X 0 <br /> SPECIAL INSTRUCTIONS CIR NOTES: CHECK EONF EDD IS NEEDED Ila- UA 0 0 a w ❑ <br /> 00 to in <br /> Contalner/Proservative <br /> j <br /> X X 0 — = U or PID Readings <br /> W <br /> ul Lu > 0 (L or Laboratory Notes <br /> w m m m r "7 ❑ <br /> VWC <br /> M ED tM 0 <br /> IL X X z ao to C4 Fa <br /> I,- CL 0. IL z X co ❑ <br /> Field Point name onl ff different from Sample ID <br /> rod I E m 'a <br /> Sample ldentlijigiiWn e POInt SAMPLING MATRIX to 0 0 Q (p 0 TEMPERATURE ON RECEIPT C, <br /> 40,or — 40 to w E w -u rt M <br /> CONT. 0 C11 C4 CM 0 <br /> 03 cc cc cc to ca I <br /> Name* DATE TIME + N .G ell, <br /> L��'I <br /> -'D <br /> A i <br /> �If '00*zo <br /> .61" <br /> M <br /> Relinquished by:(Signature) by. Date: Time", <br /> Z/9 ro <br /> R.'qulehetl by:(54pnetu } Received by:(S nature} Dater <br /> Time: <br /> Relinquished by(Slgrakirs) Received by:(Sign <br /> nm-- <br /> B119/03 R.Wlslon <br />