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• I 3 <br /> . Page of <br /> 4AChain of Custody Record <br /> On-site Time 0860 Tem <br /> [-d 3 <br /> bp Project Name Off-site Tim <br /> e eSl 00 Tem <br /> ��� RP BLAAM CO Portfolio Atlantic Richfield Co. <br /> Sky Conditions C <br /> RP 1,trotatoiv Contiact Number Meteorological Events ✓ V%A— <br /> Date Lo —it-O3 Requested Die Date(mmlddlyy) Wmd Speed Direction <br /> iIl <br /> Send ToBP/GEM Facility No WA" („) Consultant/Contractor URS <br /> Lab Name SEQUOIA BP/GEM Facility Address 501 W KETTLEMAN, LODI, CA Address 2870 Gateway Oaks Dr, Ste 300 <br /> Lab Address 1455 N McDowell Blvd Suite 0 Site ID No ARCO 434 Sacramento, CA 95833 <br /> Petaluma, CA 94954 Site L e-mail EDD denise_yee urscorp com <br /> California Global ID# T0607700886 Consultant/Contractor Project No <br /> Lab PM An elee Can BP/GEM PM Contact PAUL SUPPLE Consultant TelelFa,, 916-679-23871916-679-2900 <br /> Tele/Fax 707-792-18651707-792-0342 Address P O Box 6549 Consultailt/Contractor PM VERN E <br /> Report T e&QC Level Send EDF Reports Mora a, CA 94570 Invoice to Consultant/Contractor o BP/GE irde one) <br /> BP/GEM Account No TelefFax 925-299-88911925-299-8872 BP/GEM Work Release No inti im-50433 <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> W <br /> C3 <br /> UJ O <br /> :4 v w o o °° WN <br /> Item No Sample Description Time Laboratory No o ? m CO -} 2 ¢ Sample Point Lat/Long and <br /> CIO a O Q w QZ F v Comments <br /> to x � = F a: mm � o <br /> v7 3 v7Q zA x Z f- w f tFi} Ca N � <br /> 041.qo X I 12,C014-1 )LX 7� <br /> 2 w - Z- osa -2- <br /> I x X <br /> 3 " Z rf 03 �( y[ <br /> 50%,Z6 --5 x >c ,{ x <br /> 6 <br /> 7 <br /> LER UST DY SEALS I TACT <br /> 8 <br /> 9 <br /> 10 C LER EM U E c <br /> Sampler's Name, Relinqui0ed$ A ilration Date Me cce ted B /Affiliation Date Erne <br /> Sampler's Company su� .......... � <br /> Sht meet Date - 1}a3 <br /> Shipment Method +yC-t-%L <br /> Shipment Tracking No <br /> necial Instructions Address Invoice to BP/GEM but send to URS for aooroval <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooter Temperature on Receipt of/C Trip Blank Yes No <br /> Distnbution White Copy-Laboratory/Yellow Copy-BP/GEM /Pink Copy-Consultant/Contractor BP CDC Rev 1 215/02 <br /> I <br />