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STL ancisco o � j �� 1)&9.3Z., ConocoP ')lips Chain Of Custody Record 3S` <br /> ConocoPhlllips Site Manager ConocoPhillips Work Order Number <br /> 1220 Quarry Lane INVOICE REMITTANCE ADDRESS CONOCOPHILLIPS DATE <br /> Pleasanton, CA 94566 Attn Dee Hutchinson <br /> 3811 South Harbor,Suite 200 CortoCbPh111ipa Cost Object PAGE _� Of <br /> (925)484-1919 (925)484-1096 fax Santa Ana,CA 92704 <br /> SAMPLING COMPANY Vatid Value ID CONOCOPh}l L1T1 NUMBER GLOBAL lD NO <br /> TRC QQ((((,,}(}(66 <br /> ADDRESS SITE ADDRESS(Street and City) <br /> 21 Technology Drive,ioCA 92818 96o 6 T �V1 nim Ro(AJ S'�41,/^ <br /> kto <br /> PROJECT CONTACT(Hardcopy orrPDF PDF Report to) <br /> An)u Farfan EDF DELIVERABLE TO IRP or Designee) PHONE NO E-MAIL LAS USE ONLY <br /> TELEPHONE FA% E-MAIL Peter Thomson, 949-753-0101 <br /> 949.341.7440 949-753-0111 afarfan@tresolutions com pthomson@tresolutlons com <br /> SAMPLER NAME 9)(Prl CONSULTANT PROJECT NUMBER p <br /> 410500011FA20 REQUESTED ANALYSES <br /> TURNAROUND TIME(CALENDAR DAYS) <br /> 14 DAYS ❑7 DAYS ❑72 HOURS ❑48 HOURS ❑24 HOURS❑LESS THAN 24 HOURS c m a <br /> U.1 L o II FIELD NOTES <br /> SPECIAL INSTRUCTIONS OR NOTES CHECK Box 1F EDD ISNEEDED � a Ow si m m ~ <br /> V V ContalnerlPreservatIve <br /> D X X c O .. m <br /> ` A = _ or PID Readings <br /> j XH-m m an d C R a D- p or Laboratory Notes <br /> LU E u c <br /> U) d m m <br /> I- H c r U. o to m �r <br /> Field Point name oniv reouired if different from SamDle ID E m m a m d m o U -] <br /> Or <br /> LAB SampleIdentification/FieldO n SAMPLING NO OF to 0 x 0 ? 0 r" R TEMPERATURE ON RECEIPT C° <br /> USE <br /> DNLy Name" GATE TIME MATRIX cont C* do 00 O coo o 00 e coo 00 � <br /> Mw-6 111100 . <br /> G <br /> VW-7 1200 <br /> w 152 <br /> u - 13� <br /> 6w-1 11745 <br /> Mw- It f5 <br /> lnl- I <br /> Refingw by(Signature) Received by(Signature) Date Time <br /> Relinquished by(Signature) Recelved by(SignaIu Date Time <br /> Reimqulshed by(Signature) Recdved lsy(Signature) Date Time <br /> 9119103 Revision <br />