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IF T7 <br /> V, Chain of Custody R•rd On-siteTime Tem <br /> 11 lop 000 Project Name Off-site Time Tem <br /> Business Unit A.Hantic Richfield Company ___ __._ S Conditions <br /> BP Laboratory Conti act Number: Meteorological Events <br /> Date �_IL2 L - Requested Due Date(mm/ddlyy) Wind Speed Direction <br /> Send ToBP/GEM Facility NoConsultant/Contractor URS <br /> Lab Name SEQUOIA BP/GEM Facility Address 3425 TRACY BLVD,TRACY, CA Address 2870 Gateway Oaks Dr, Ste 300 <br /> Lab Address 885 Jarvis Dr Site ID No ARCO 2093 Sacramento, CA 95833 <br /> Morgan Hill CA 95037 Site Lat/Lon -mail EDD vera elarth urscor com <br /> alifornia Global ID# T0607700036 Consultant/Contractor Protect No /- <br /> Lab PM Ron ChewBP/GEM PM Contact PAUL SUPPLE Consultant Tele/Far 916-679-2387 1916-679-2900 <br /> Tele/Fax 408-776-96001408-782-6308 Address Consultant/Contractor PM VER TH <br /> Report Type&QC Level Invoice to Consultant/Contractor o BPIGEM itcle one} <br /> BPIGEM Account NoTele/Fax BP/GEM Work Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> C w Cy <br /> c F-00rq a d <br /> d Sample Point Lat/L <br /> ong and <br /> Item No Sample Description Time Laboratory ry No N o0 o <br /> J v 0 Comments <br /> v O ! <br /> Co COW A o <br /> is o e Z U Z - x E✓ <br /> En 3 V) d <br /> I <br /> 2 A-17- r3s <br /> 3 4- <br /> 4 A <br /> 5 <br /> b s <br /> 7 `� <br /> 3 , <br /> g 87—Z-1 <br /> A iZ Z <br /> Sam ler s Natrie G i / Relin uished B /Affiliation Date ime Acce ted 6 !Afftitation Date ime <br /> Sam ler's Com an Ee 4 r s I rc <br /> 3hi ment Date <br /> Shipment Method <br /> 3hi ment Tracking No <br /> 3uecial Instructions I <br /> :ustody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt oFlC Trip Blank Yes No <br /> Distribution White Copy-Laboratory/Yellow Copy-BP/GEM /Pink Copy-Consultant/Contractor BP COC Rev 1 215101 <br />