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Conocof hillips Chain Of Custody Record <br /> ? L-San Francisco o 3 <br /> ConocoPhillips Site Manager: 15r[o6PiiitlldpFylAlr kIYlbe} � y <br /> 1220 Quarry Lane INVOICE REMITTANCE ADDRESS. h I7�17RC SLU J I' <br /> CONOCOPHILLIPS DATE', <br /> Pleasanton, CA 94566 Attn: Dee Hutchinson r <br /> .`ohG�riilf btaje <br /> 3611 South Harbor,Suite 204 PAGE. l of <br /> (925)484-1919 (925)484-1096 fax D� 05%fO Santa Ana,CA. 92704 T <br /> SAMPLING COMPANY: Valid Valu.19: CONOCOPHILLIPS SITE NUMBER GLOBAL ID NO.. <br /> TRC ///9S 7D&117 760 Go•7 <br /> ADDRESS: SITE ADDRESS(Street and Cily): b CONOCOPHILLIPS SITE MANAGER: <br /> 21 Technology Drive,Irvine CA 92618 c1' `vrTwrM- <br /> PROJECT CONTACT(Hardropy or POP Report to): <br /> Anju Farfan EDF DELIVERABLE To(RP orOxlgnee): PHONE No. Ea AIL: 1S oHEY ' <br /> TELEPHONE: FAX: E-MAIL: Peter Thomson,TRC 949-341-7408 <br /> 949-341-7440 949.7530111 afarfan@tresolutioris.corn pthomson@_tresolutions,com w, <br /> SAMPLER NAMES)(Print): CONSULTANT PROJECT NUMBER <br /> !f LAX 41050001/FA20 REQUESTED ANALYSES <br /> TURNAROUND TIME(CALENDAR DAYS); y in <br /> . Lu <br /> r-114 DAYS (37 DAYS [3 72 HOURS [3 46 HOURS 13 24 HOURS[3 ✓rESS THAN 24 HOURS M c S <br /> XT o X ��, FIELD NOTES; <br /> SPECIAL INSTRUCTIONS OR NOTES: CHECK BOX IF EDD IS NEEDED .2 m CO 0 w LU N 13 <br /> _ _ m ConhinerlPreservadve <br /> X X O °� _j or PID Readings <br /> W � �g v .� CL h ams or Laboratory Notes <br /> LU w [0 mm 'O A R o ~ ❑ Co jy <br /> �7 <br /> ) cI me t0 <br /> 2 2 2 X — -- Q E n o -V Z e7 <br /> � � <br /> aoe do w GO <br /> Field Point name onl re wired if different from Sample ID E m m , Z . 0 [. ❑ <br /> LAB:;: amp E. en I Ica Ion ie Point SAMPLING HOOF In = n to R p; TEMPERATURE ON RECEIPT C° <br /> IJSE.: a MATRIX CONT, O N N N N V N o N t� <br /> oaLr Name DATE TIME m CO m m + m .6 m m ..I d <br /> M /� D= sas 6903 47� C GDi�•� wl/� <br /> n1 -I z asp <br /> Ii <br /> /CD3 <br /> A ,- 57 <br /> f0'f <br /> mow' ///0 <br /> 7J, <br /> /z IJ v <br /> Reli Ished by:(Sgnabve Recelved by!(Signahire) Date: Time: <br /> Rel1ngma1,-d by:(SIOna Received by:(Signature) pale: Time', <br /> - - _ <br /> RelVnquish 1pn 7 Received by Signalure) pate: Time: <br /> � 9!1 gl01 Revision ', <br />