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■ <br /> CHAIN OF CUSTODY No.0 5 5 9 9 2 1 <br /> Page of <br /> CONpILTAN�SE ADQRESSTY TATE ZIP CODE <br /> 1-5 <br /> BP SITE NUMBER BP ORNER ADDRESS/CITY CONSULTANT PROJECT NUMBER <br /> CONSULTA T PROJECT MANAGER PHOE NUMBS FAX NUMBER CONSULTANT CONTRACT NUMBER <br /> BP A ESS PHONE NUMBER, FAX NO <br /> BP CONTACT �,` <br /> `�'� FAX NO <br /> LAB CONTACT S 1 LABORATORY ADDRESS PHONE NUMBER �— <br /> Y(SLgSHIPMENT ]ATE SHIPMENT METHOD <br /> SAMPLED BY PrntName) SAMP <br /> Loire <br /> AIRBILL NUMBER <br /> TAT 24 Hours ❑ 48 Hours 1 eek Standard 2 Weeks ANALYSIS REQUIRED 76 <br /> I <br /> COLLECTION CONTAINERS PRESERJATIVEIy <br /> DATE COMMENDS <br /> SAMPLE DESCRIPTION MATRIX <br /> SOILIWATER TYPE LA <br /> COLLECTION NO (VOL) SAMP <br /> TIME <br /> C r- 1 b <br /> T <br /> Sr <br /> i <br /> ADDITIONAL COMMENTS <br /> REL QUISHED BY 1 AFFILIATION DATE TIME ACCEPTED BY/AFFILIATION DATE TIME <br /> c-� 9 <br /> dr— <br /> GLv 16722 Distribution White Original(with Data) Pink Lab <br /> Yellow-BP Blue Consultant Field Staff <br />