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Chain of Custody Record Page- of c <br /> Protect Name BP 11194 OW Quarterly _ _ On-site Time by Temp `14' <br /> gY BP BU/AR Region/Enfos Segment: BP>Amancas>West Coast>Retail>WCBU>CA Off site Time daD Temp Sd <br /> >Central>11194>Fhstooul& Sky Conditions 0,1pk� <br /> State of Lead Regulatory Agency San Joaquin County Envronnnental Management Dept Meteorological Events <br /> Requested Due Date(mrnldd/yy) r Wind Speed Direction fir <br /> Lab Name Sequoia BP/AR Facility No 11194 Consiiltant/Contractor URS <br /> Address 885 Jarvis Dnve BP/AR Facility Address 2375 Tracy.Blvd, rrac ,CA 95376 Address 2$70 Gatewa Oaks Drive,Suite 300 <br /> Morgan Flill,CA 95037 Site Lat/Long N/A Sacramento,CA 95833 <br /> Lab PM Lisa Race Caliromia Global ID No 10607700011 onsnitant/Contractor Project No 38466553 <br /> Tele/Fax 408 776 9600/408 782 6308 Enfos Project No G07 WZ-0011 ConsidtanVContractor PM Vernon Elarth <br /> MAR PM Contact Paul Su lc Provision of RCGP ProvisionTele/Fax 916 679 2383/916 679 2900 <br /> Address PO Box 6549 Phase/WBS 04-Mon/Reined by Natural Attenuation Report Type&2C Level Level l with EDF <br /> Moraga,CA 94570 Sub Phase/Task 03-Analytical E mail EDD To Demse Yee ursca com <br /> 1 Oe/Fax 925 299 8891/925 299 8872 Cost Element 05-Subcontracted Costs Invoice to Altantic Richfreid Co <br /> Lab Bottle Order No Ma#rix Pi eservative Requested Analysis <br /> 0 <br /> o o <br /> N <br /> � m i <br /> d u tl v ZO :2, N Sample Point Let/Lang and <br /> Item ne Sample Desci iption F c"a a Laboratory No o v °O d <br /> q o U N 0 a Comments <br /> N <br /> +°i a C a O O erd m A f�1 <br /> MO1L0lIS z � � M <br /> r lw-3 It�lz w o X <br /> z my-5 055fl to/2q <br /> 3 lb Z$ tv >< X <br /> 4 w 0( 6410 <br /> 5 N+W tASb It f <br /> 6 vS <br /> 10 <br /> Sampler's Name Relinquished By!Affiliation Date 11me Aer•epted By!Affilia#iou Date mile <br /> am ler's Company , I, g,,.rv1 icy ly3c, C , rr G�it.++�P- '°J�v r°11t <br /> S <br /> Shipment Date <br /> r <br /> Shz mein Method <br /> Shipment Tracking No i t <br /> S ecialI»structions <br /> IEV-stodySealjWlaceYea X No _ Temp Blank YS_L No d&olcr I emperature on Receipt °F Trip Blank Yes No <br /> Distt ib White Copy-Laboratory/Yellow Copy-BP/Atlantic Richfield Co 1 Pink C onsultant/Contractor BP COC Rev 4 lo/uoa <br />