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Pug of - <br /> Chain of Custody ReSd on-site Time Temp <br /> Pmjed Name 2002 Groundwater Sampling Event off-site Time Temp0 • <br /> BP BU/GEM C Po oho: v2d <br /> Conditions <br /> BP Laboratory Contract Number: eorolo cal Events <br /> Requested Due Date (mm/dd/yy) -4MMBLA-ff 414 Speed Direction <br /> i <br /> Send To: BP/GEM I!qM No ARCO Station 595 Consultant/Contractor SECOR <br /> Lab Name SEQUOIA ANALYTICAL BP/GEM FacMty Address 8100 N. RM 99, Stockton Address Sol?Eggore Rd., Ste. 100 <br /> Lab Address 819 Striker Ave Site ID No r Rancho Cordova, CA 95670 <br /> Sacramento, CA 95834 Site Lat/Lo Z e-mail EDD charms@secor.com <br /> California Global IDT 607700319 Consultant/Contractor Pro ect No ,$MM$of <br /> Lab PM Ron Bobel P/GEM PM Contact 4 Paul 8u le Consultant/Contractor Tele/Fay 918.861.0430 <br /> ele/Fam 916.921.9600 dress Consultant/Contractor PM R. Bank-1— <br /> Report <br /> rt &gC LeveL voice to Consultant/Contractor P/GE <br /> BP/GEM Account No Tele/Fax: 925.299.8891 P/GEM Work Release No 28873 <br /> Lab Bottle Order No Matrix Preservatives Requested Andy= <br /> 00N <br /> tip <br /> Item °� W Sample Point Lat/Long (J <br /> No. Sample Description Time Laboratory No o o f <br /> a u 00 <br /> 00 �. and c�1 <br /> v1 z x� x wj I,2- ;-LDS, C,N <br /> 1 -1 x 6 x x x <br /> a 2 t d5 x x x x p �' <br /> 3 -3 137d X X X X <br /> 4 -4 I X X X X <br /> 5 -5 A) <br /> s -6 x135 x r x x x p�Jy <br /> 7 va !d1.5 x x x x <br /> s sw 105 x x x x <br /> MSht <br /> pler's Name f� l,J Relfn ed By/Affiliation ate e c ted By J Nan to e <br /> ler's Com S& erP toy X05 <br /> est Date <br /> merit Method IA <br /> -shipment Tracking No <br /> SpecW Instructions: <br /> ,Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt 'F/-Trip Blank Yes Nc <br /> lhstabution White Copy-Laboratory/Yellow Copy-BP/GEM /Pmk Copy-Consultant/Cmtractor BP COC Rev 1 215/02 <br />