UNIFIED GULF COAST INCIDENT MANAGEMENT TEAM
CHAIN-OF-CUSTODY / Analytical Request Document
COC # This Chain-of-Custody is a LEGAL DOCUMENT. All relevant fields must be completed and accurate. Page: of
ARF # Program ID:
Required "Ship To" Laboratory: Required Project Information: Required Sampler Information: Environmental Standards, Inc.; LastUpdate 10/4/10
Lab Name: Site ID #: MC252 Deepwater Horizon Incident Sampler Name: TAT (Circle One): Standard or Rush
Site Address: Site Address: 1250 Poydras Street, Sampler Company Name: If Rush (Define):
City, State, Zip: City, State, Zip: New Orleans, LA 70113 Sampler Phone Number:
Preservative
Lab PM: Site PM Name: Dennis Beckmann / Mike Green Sampler Email Address:
Phone/Fax: Phone/Fax: 281.796.0760 / 630.842.5405 Supervisor's Contact Name:
Lab PM Supervisor's Contact Phone:
Email:
Site PM Email: Dennis.Beckmann@bp.com / Mike.Green2@bp.com
Supervisor's Contact Email:
NUMBER OF CONTAINERS
Start Depth
SAMPLE
End Depth
SAMPLE ID SAMPLE LOCATION SAMPLE TYPE *
TIME
G=GRAB C=COMP
(in 24 hr
Samples IDs MUST BE UNIQUE in the following form Latitude / Longitude in Decimal Degree Format (28.12345,- Specify
Check box format)
MATRIX CODE
(Matrix)-(Date)-(Team or Vessel)-(Sequential#) 90.12345) sample
Depth Unit if applicable SAMPLE Specify Time
WGS 84 Datum Control type
Analysis
Circle One DATE Zone
(see below)
(N, FD,
ITEM #
EXAMPLE: SW-20100609-OV12-01 Geographic FB, EB,
Location: M or FT or TB)
MS MSD
1
2
3
4
5
6
7
8
9
10
Comments / Special RELINQUISHED BY / AFFILIATION DATE TIME ACCEPTED BY / AFFILIATION DATE TIME Laboratory Use Only
Instructions: Sample Receipt Conditions
See ARF for Data Delivery,
Y/N
Y/N
Y/N
Y/N
Deliverables, and Sample
Retention Information.
Custody Seals Intact?
Trip Blank Present?
Samples on Ice?
Samples intact?
o
C
Temp in
Common Matrix Codes: * Sample Type Codes:
TRB - Tar Ball TC - Tar (highly weathered oil, nearly solid consistency) BP - Boom and Pad TKDM - Top Kill Drilling Mud NT - Fishing/ Shrimping Net N - Normal/Investigative Sample FB - Field Blank
OL - Oil (generic) WO - Weathered Oil SN - Snare Sample ST- Solid Waste SL - Soil AS - Absorbent Solid Material FD - Field Duplicate EB - Equipment Blank
SO - Fresh Oil/Source Oil WB - Weathered Oil, Beached VG - Vegetation SW - Surface Water WQ - Equipment, Field, and Trip Blank SU - Supernatant Water MS/MSD - Matrix Spike/Matrix Spike Duplicate TB - Trip Blank
WS - Weathered Oil, Sheen WF - Weathered Oil, Floating MS - Mousse (Emulsified Oil; Pudding-like) SE - Sediment (Associated with Surface Water)