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o y a z t &-S o- z Pages of <br /> Chain of Custody RecordOn-site Time rem <br /> bp <br /> Protect Name ARCO 6020 GW Monitorm Off site Time Tem <br /> 0 BP BU/GEM CO Portfolio. Retail s Conditions c/o <br /> BP Laboratory Contract Numbei: Atlantic Richfield Co. eteorolo ical Events <br /> Date A- i to - zo o i Requested Due Date(mm/dd/yy) St.e.ra,�r�/ and S -S-!-.24 Direction 5 w <br /> Send ToBP/GEM Facility No ARCO 6020 Consultant/Contractor URS <br /> Lab Name SEQUOIABP/GEM Facillty Address 1711 E Yosemite Ave, MANTECA,CA Address 2870 Gateway Oaks Dr.Ste 300 <br /> Lab Address 1455 N McDowell Blvd Suite D Site ID No ARCO 6020 Sacramento,CA 95833 <br /> Petaluma,CA 94954 Site Lat/Lon mail EDD denlse ee ursco cam <br /> alifomia Global ID# T0607700873 onsultant/Contractor Project No <br /> Lab PM An elect CanBP/GEM PM Contact PAUL SUPPLE Consultant Tcle/Fax 916-679-23871916-679-2900 <br /> Tele/Fax 707-792-1865/707-792-0342 Address P 0 Box 6549Consultant/Contractor PM VERN >_ <br /> Report T e& Level Level 1 Mora a, CA 94570 Invoice to Consultant/Contractor BP/GEM ircle ore) <br /> P/GEM Account No TelefFax 925-299-88911925-299-8872 P3P/GEM Work Release No Intrim-506$1 <br /> b Bottle Order No Matrix Preservatives Requested Analysis <br /> w <br /> o � <br /> M � <br /> p N m <br /> x o � � iLiN <br /> Item No Sample Description Time v_ 2 aboratory No o co � Q Sa le Point LatlLong and <br /> oO v A z Comments <br /> e U <br /> 3 ina z x � oNo WR <br /> 1 w-� rs�r X P �C► 3 t, X x )c X <br /> 2 - t" it 25" Y. 3 !� x k 'K x ,c <br /> 3x x ,e. x :� <br /> 4 w- l3aS X C 3 tp rc x x x is {� <br /> 5 3 <br /> 6 wrto rtS� D� 3 b X x x k <br /> 7 mw-11 5- <br /> x 3 rU k x k ri x <br /> 7` 3 (, 4C Sc Zc 1G X n <br /> 9 w-130 no p� 3 6 x 1t u K X <br /> 10 rl3"f 0ZO i16Zoov FITF old er <br /> Sampler's Name Scor elia uisshed B /Affibation to ime B /Affiliaaon ate ime <br /> am lei's Com any ly r'a ,,t e4 <br /> Slit went Date 17 ¢ ` 'z l 7 d 0 7 <br /> Shipment Method <br /> Shipment Tracking No <br /> Special InstruetlOns Address Invoice to BP/GEM but send to URO for 4P-01-1 -If total lead value is>50 analyze for lead v STL ,value is>5 analyze for lead by TCLP <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> ustody Seals In Place Yes K No Temperature Blank Yes_�C No Cooler Temperature on Receipt 'FIC Tnp Blank Yeses_No <br /> Distribution White Copy-Laboratory/Yellow Copy-BP/GEM /Pink Copy-Consultant/Contractor BP CQG Rev 1 7l5/02 <br />