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-7 Page <br /> ''` `' Chain of Custod �olyd <br /> F,,d <br /> Tune 1,3 a Tan sr(0 <br /> �;; F Project Name ARCD 2093 GW Manitoriui <br /> r — L <br /> Time 8 Tem <br /> BP BU/GEA1 CO PortfoLo. Retail dthons <br /> BP La.borator) Coratract Numbex Atlantic Richfield Co. o icaI Events <br /> Date: �q► r d Requested Due Date(mmldd/yy) <br /> ed O-S Direction S 9') <br /> Send P/GEM FacilityNo ARCO 2093 onsultant/Contractor URS <br /> Lab Namm e SEQUOIA BP/GEM FaCt11 Address 3425 TRACY BLVD,TRACY,CA ddress 2870 Gateway Oaks Dr, Ste 304 <br /> Lab Address 1455 N McDowell Blvd Suite D rte ID No ARCO 2093 <br /> Sacramento,CA 95833 <br /> Petaluma, CA 94954 tie LatlLon <br /> s. mail EDD dentse ee ursco com <br /> afifomta Global ID# T0607700036 onsultant/Contractor Project No <br /> j Lab PM An elee Can BP/GEM PM Contact PAUL SUPPLE onsultant Tel&Fax 916-679-23871916-679-2900 <br /> j el&Fax 707-792-18651707-792-0342 Address P 0 Box 6549 eort T onsultant/Contractar PM VERN E <br /> Type 8 C Level Send EDFD--its Mora a,CA 94570voice to Conaultan t/Contractor $P/GEM ucie one) <br /> BP/GEM Account No Tele/Fax 925-299-8891!925-299-8872 BP/GEM Work Release No Intnm-50255 <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> us <br /> 0 p <br /> a k 00 $ ca <br /> Item No Sample Description Time a Laboratory No C '3 O0 Nw <br /> o Ct 00 O d Q a3 Sample Point Lat/Long and <br /> b o O A w zC Comments <br /> 1 z <br /> too rJGa <br /> 2Sat) X � o n o N D <br /> .c .< x x <br /> 4 <br /> 5 <br /> ' C 9 qTO YS <br /> 6 - <br /> 8 <br /> 9 <br /> I <br /> 10 <br /> Sampler's qetin unshed B r r tin ate ime c t B 1 Affiliation <br /> m an <br /> Sampler's CoS Sk C �_ ate Me <br /> Shi meat Date .Z o G S" 4 -z- OF J- <br /> hi ment Method <br /> ro O J�v w tr <br /> Sht mens Trackmi No o D 1130 <br /> ecral Instructions Address Invoice to BP/GEM but send to URS for approval -If total lead value is>50 analvze for lead by STLC.value is>5 ansivxe for lead by I CLP <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> ustody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt FIC Trip Blank Yes No <br /> Distribution White Copy-Laboratory/Yellow Copy BP?GEM /Puik Copy-Consultant/Contractor <br /> BP COC Rev 1 215102 <br />