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C `CA 70 �4^ - Page' of <br /> n Chain of Custodyue4lfi'>� on-site Tune Tem <br /> bp Project Name ARCO 2093 GW Manttolr7ng <br /> _ Off-site Time Tem <br /> � <br /> BP BU/GEA I Co Pox tfolio Atlantic Rbchfield Co. Sly Conditions ibu <br /> 131' Labor atop Contract Nurrabel• 461000 eteorolo ical Events <br /> Requested Due Date(mm/dd/yy) Gy�-m r.ANXa- Wind S eed S,w �► Direction US's <br /> ~ BP/GLM Facile No ARCO 2093 ConsultanVContractor URS <br /> Send To <br /> Lab Name Sequoia PetalumaBP/GEM Facility Address 3425 TRACY BLVD,TRACY,CA Address 2870 Gatewa Oaks Dr Ste 300 <br /> ah Address 1455 N McDowell Blvd Suite D Site ID No ARCO 2093 Sacramento, CA 95833 <br /> Petaluma,CA 94954 Site LatfLori -mail EDD demise ee ursco com <br /> alifomia Global ID# T0607700036 onsultant/Contractor Project No <br /> Lab PM Mike Giles BP/GEM PM Contact PAUL SUPPLE onsultant TelelFar 916879-2000!915679-2900 <br /> felelFa. 707-792-1865!707-792-0342 Address P 0 Box 6549 onsuItantlCantractor PM VERN E <br /> c ort 1 e& Level bevel I Report&EDF Mara a CA 94570 nvoice to Conwitant Contractor BP/GEM �rc[e 011c) <br /> PIGEM Account No Tele/Fax 925-299-88911925-299-8872 PIGEM Work Release No Irttrtm-50265 <br /> Lab Bottle Order No Matrix preservatives Requested Analysis <br /> w <br /> � o <br /> ro y� N ° o Sample Point Lot/Long and <br /> Item Sample Descriphon a 7 Laboratory No d aO <br /> _ o 00 o Comments <br /> n � y p � H F- <br /> J <br /> �" o L o c 0 0 m oa <br /> v i s z x � 'L-' � Lu <br /> N <br /> 2 Rv <br /> 3 Odi-L rt <br /> 4 <br /> e ftILI rA <br /> G <br /> 7 04 <br /> 4 <br /> to <br /> 11 <br /> Sampler's Name 1-4. LA4G-00.5 elm ,.cubed By/AM ialion ate cine, cce ted By!Affibabon ate ime <br /> Sam lei's Company i., i r ��1L <br /> Shipment Date ' <br /> Stu ment Method <br /> Shipment Trackuig No <br /> oecial Instructions- Address Invoice to BPIGEM but send to URS for aporoval <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> Custody Seals In Place Yes No Temperature Blank Yes rC No Cooler Temperature on Receipt FIC Trip Blank YesesNo—==�:] <br /> $P COC Rev 3 12115103 <br /> DrSulbAWn k'hii,.Copt Laboratoi) 1 rdo%%Copy-BPIGEh1 ,Pik Cup+,-Con-%uitwwContraator <br />