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X- o36730`M$-1 Pagel of <br /> * ` Chain of Custody Record On-site Timed ZO Tern -7 t-•"T f <br /> ♦ P b <br /> Proleet Name 11194 GW Monitorine Off-site Time I Temp <br /> • <br /> µ" <br /> BP BU/GEM CO Portfolio Retail Sky Conditions • O` 'r <br /> BP Laboratory Contract Number Atlantic Richfield Co - ` eteorolo ical Events 0*t-— <br /> Date "7.-30 -03 Requested Due Date(mm/dd/yy) S+AAQ o/1.A Wind S Sed %J&A-- KDirection <br /> I <br /> Send To- BP/GEM Facility No 11194 Consultant/Contractor URS <br /> Lab Name SEQUOIA BPIGEM 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 -mail EDD devise ee urscor com <br /> ahfornia Global ID# T0607700011 Con sultant/Contractor Project No <br /> Lab PM An elee CanBP/GEM PM Contact Scott Hooton Consultant Tele/Fax 916-679-23871916-679-2900 <br /> ele/Fax 707-792-18651707-792-0342 Address 295 SW 41 st St, Bldg 13 Ste N Consulcan t/Contractor PM VERN E <br /> Report Ty2e&QC Level Level 1 Fenton,WA 98055 Invoice to Consultant/Contractor BP/GEM irdc one) <br /> I <br /> BP/GEM Account No 400-6-21124Tele/Fax 425-251-06891425-251-0736 P/GEM Work Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> o m <br /> '9SC � F D <br /> Q <br /> o v O0 NItem No Sample Description ,1 <br /> Sample Point Lat/L <br /> ong andTimeLaboratory Q 00 4 nts4) Commezf o <br /> v <br /> a <br /> 1 <br /> VV"%-J - t x x x <br /> 2 w - 1Z G <br /> 3 W`w- k OU <br /> 4 <br /> S <br /> 6 E IS I TAC LJ <br /> 7 1 NO INT <br /> 8 <br /> 9 <br /> 10 <br /> Sam lees Name re%%*O Relinquished B ffi n Rate Time c d B !Affiliation Date ime <br /> Sampler's Company ? 0 G� 7 7 a3 V3Q <br /> Shipment Date -qpfes, f o j <br /> Shipment Method ;LAt w 1j <br /> Shipment Tracking No l 11 <br /> pecial Instructions Address Invoice to BP/GEM but send to URS for approval -If total lead value is>50 analvze for lead by LC value is> nalvze for lead by TCLP <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS n <br /> ustody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt 01NIC Trip Blank Yes No <br /> Dismbution White Copy-Laboratory/Yellow Copy-BP/GEM /Pink Copy-Consultant/Contractor BP COC Rev 1 215102 <br />