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r :San Francisco ConocoPtIllips Chain Of Custody Record (� , <br /> ConocoPhlllips Site Manager: t~l�St} C Pftlll>'CD �iVttF 'r �, Cr k� :,< . <br /> / 1220 Quarry Zane . <br /> INVOICE REMITTANCE ADDRESS: CONOCOPHILLIPS f-751 772v-- 6DD fl'Z9'[r� <br /> DATE: <br /> Pleasanton, CA 94566 Attn: Dee Hutchinson -'— � j' <br /> { Con�c�lti)ilre , <br /> 3611 South Harbor,Suite 200 3.,,. .f.. < PAGE: of <br /> (925)484-1919 (925)484-1096 fax - 12--00Santa Ana,CA. 92704 <br /> SAMPLING COMPANY: Valid value to: CONDCOPHILUPS SITE HUMBER GLOBAL ID No.: <br /> TRC //l 1h ;M&o7 766 4O 7 <br /> ADDRESS: SITE ADDRESS(Street and City); CONOCOPHILLIPS SITE MANAGER: <br /> 21 Technology Drive,Irvine CA 92618 /(d�0 S, / ' s EaP• j <br /> PROJECT CONTACT(Hardcopy or PPF Report to): <br /> Anju Farfan EDF DELIVERABLE TO(RP of Dealgneel; PNONe Nd.: Held L• ���13� 1P14 <br /> TELEPHONE: FAX: E-MAIL: peter Thomson,TRC 949-341-7408 t , <br /> 949-341-7"0 949-763-0111 afarfan@tresoiutions,com pthomson@tresolutions.com *G it` 1 <br /> a <br /> SAMPLER NAMES)(Print): CONSULTANT PROJECT NUMBER <br /> X WX 410500011FA20 REQUESTED ANALYSES <br /> TURNAROUND TIME(CALENDAR DAYS); <br /> 13 14 DAYS I] 7 DAYS 0 72 HOURS 0 46 HOURS 0 24 HOURS Q LESS THAN 24 HOURS e c cuj <br /> 4r <br /> X a o x FIELD NOTES: <br /> LU <br /> SPECIAL INSTRUCTIONS OR NOTES; CHECK BOXiF EDD IS NEEDED m m m I— ❑ �f <br /> [A H m D Q Cn Container/Preservative <br /> X XO m 2 td or PID Readings <br /> bW 1- 2 W ? H a a or Laboratory Notes <br /> W com mr ,� ~ ❑ <br /> 4 rnof rn m b y = d] C— <br /> a 0. x Q. _ cl 3 GR. <br /> t- Ia- � Q. c ti a to m ~ �3 <br /> "Field Point name onl Te wired if different from Sam le ID E 17 m m M . 41 ca ❑ kLU <br /> ampa 2R I ICd IOn le OIR SAMPLING MATRIX No.oF U5 C3 m E m o to C TEMPERATURE ON RECEIPT C° <br /> oktY' Name" DATE TIME eDNT, ago m C-4 m + m 10 m CO <br /> 6-4u 3 t�4V <br /> , •- � loo�' <br /> 1hi _ <br /> 4 <br /> Relinqui ed by:(Signature) - Received by;(57pmNre) <br /> Dale: Time: <br /> L <br /> RNinquishad by (Si amre) RexivM by:(Signature) <br /> Timet <br /> Relinquished by:(Sipnalure) ---'� Received h � Date: lime: <br /> 9119103 Revlsian <br />