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• o3aZ3o-was-1 Page N Df <br /> � !�,► Chain of Custody Record On-site Time o 2CZb Tem -7 7- <br /> b Project Name 1.1194 GW MonitoringOff-site Time t 500 Tem Q <br /> BP BU/GEM CO Portfolio Retail Sk Conditions <br /> BP Laboratory Contract Number. Atlantic Richfield Co, lMeteorological Events o V%- . <br /> Date —7`30- Q Requested Due Date(mm/dd/yy) �� -�J` � Wind Speed o�� Direction IwJ <br /> Send ToBP/GEM Facile No 11194Consultant/Contractor URS <br /> Lab Name SEQUOIABP/GEM Facility Address 2375 TRACY BLVD ,TRACY, CA Address 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 - e-mail EDD denise yee@urscorp corn <br /> ahfornia Global ID# T0607700011 Consul tant/Contractor Project No <br /> Lab PM An elee CanBP/GEM PM Contact Scott Hooton Consultant Tele/Fax 916-679-23871916-679-2900 <br /> eleJFax 707-792-18651707-792-0342 Address 295 SW 41st St, Bldg 13 Ste N onsultant/ContractorPM VERN E <br /> Report T e&QC Level Level 1 Renton,WA 98055 Invoice to Consultant/Contractor BP/GEM ircle one) <br /> BP/GEM Account No 400 6-21124 elc/Fax 425-251-06891425-251-0736 BP/GEM Work Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> w <br /> � m <br /> Item No Sample Description Time Laboratory No o oo w ¢ I Sample Point Lat/Long and <br /> 00 <br /> o °' A Oz ca ¢ Comments <br /> a 6 O Oz �? r� <br /> E o Q uiLU <br /> F [� <br /> G X <br /> 2 .N.w v 15 3( lie <br /> 3 vwkw- G �c aC <br /> 5 vJ-to aw ,C <br /> 6 .N•w - iMkO G <br /> 7 ,u �"Z yo <br /> 9 <br /> 10 - 1 1AI I A <br /> Sam ler's Name Relinquished. B ffi ate Time cytWed B /Affiliation Date ime <br /> Sampler's Company L 'r p g4 J a 7 3! d� r flz D <br /> Sht mens Date �� i 6 lln40 <br /> Shipment Method t <br /> Sht ment Trackm No <br /> btrnal Instructions Address Invoice to BP/GEM but send to URS for approval -I£total lead value is>50 analyze for lead by STLC,value is>5 analyze for lead by TCLP <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt of/C Tnp Blank Yes No <br /> Dismbution White Copy Laboratory/Yellow Copy BP/GEM /Pink Copy-Consultant/Contractor BP COC Rev 1 215A2 <br />