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Page Z of Ah <br /> Chain of Custodv ReZord <br /> �_ On-site Tune / Tem <br /> VOProject Name 11194 GW Monitoring Off-site Time Tem <br /> SP LII/GSM CO PortfoLo. Retail p 21 <br /> S Conditions Clrrr <br /> BP Laboratory Contract Number- Atlantic Richfield Co. gMeteorol22cal Events <br /> Date• t�i8lOy Requested Due Date(mm/dd/yy) _ and S ed / a Direction <br /> Send ToBP/GEM Facile y No 11194 Consultant/Contractor URS <br /> Lab Name SEQUOIABP/GEM Facile Address 2375 TRACY BLVD TRACY, CA Addrm 2870 Gateway Oaks Dr Ste 300 <br /> Lab Address 1455 N McDowell Blvd Suite D Site ID No 11194 Sacramento,CA 95833 <br /> Petaluma,CA 94954 Site Lat/Lon -mail EDD denlse ee ursco Com <br /> Callforrua Global ID# T0607700011 onsultant/Contractor Project No <br /> Lab PM An elee CanBP/GEM PM Contact PAUL SUPPLE onsultant Tele/Fax 916-679-23871916-879-2900 <br /> ele/Fax 707-792-1865/707-792-0342 ddress P O Box 6549 onsultant/Contraetor PM VERN E <br /> Report Type&gC Level Send EDF Reports Mora a,CA 94570 nvoice to ConSultant/Contractor BP/GEM mir one) <br /> BP/GEM Account No 400-6-21124 TelvFax 925-299-88911925-299-8872 1P3P/GEM Work Release No <br /> Lab Bottle Order No Matnx Preservatives Requested Analysis <br /> W <br /> vQ <br /> 00 W Q <br /> Item No Sample Description Time -2 7 Laboratory Noo m on -a Sample Point Lat/Long and <br /> C <br /> 4. — Q 2 r ¢ Comments <br /> u oU <br /> O� O pxp., raj G� o <br /> z e4jAd.y q» <br /> 4w .6 T33 <br /> 4 '7 p4-� X <br /> sx X <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> sampler's Name Relinq uJ&Yed By/ASniation ate line d B /Affiliation Date line <br /> I H <br /> Sampler's Company JR6ni Tccb W,11% .S Z M <br /> v_1j-ac 1Oa <br /> 5hi meat Date ,fes , 1{ <br /> Shipment Method <br /> Shipment Tracking No m <br /> Special Instructions Address Invoice to BP/GEM but send to URS for approval -If total lead value is X50 analyze for lead by STLC,value is>5 analyze for lead by TCLP <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> Zustody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt ol~/C Trip Blank Yes No <br /> DlSiribUClon while Cop) -Laboratory, Yellom Copy BPIGEM /Pini.Copy-Consultant/ContraLlor BP COC Rn. 1 215102 <br />