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*uoia Analytical EXXON CO ANY, U.S.A. <br /> -':' 680 Chesapeake Dr, <br /> Redwood City,CA 94063 P.O.Boz 2180,Houston,TX 77002-7426 <br /> (415)364-9600 • FAX(415)364-9233 CHAIN OF CUSTODY <br /> Consultant's Name: Page --of <br /> Address: Site Location: <br /> Project#: Consultant Project#: Consultant Work Release#:,,,! <br /> Project Contact: Phone#: Laboratory Work Release#: <br /> EXXON Contact: Phone #: EXXON RAS #: U <br /> • Y <br /> Sampled by (print): Sampler's Signature. <br /> Shipment Method: Air Rill #: _..._._... -._. . <br /> a. <br /> e <br /> TAT: ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr Q Standard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix It of Sequoia's BTEX/TPH/Gs TPI-!/ S.M.TRPIamperatwe: <br /> P Prsv BTEX/ Diesel S.M. <br /> Description Date Time- SoiVWaterlAir ConL Sample It 5015/ EPA <br /> 5520 Inbound Seal: Yes No <br /> 8Q20 8015 Outbound Seai: Yes No co <br /> 6 <br /> Cr <br /> r; 3 <br /> r <br /> 0 <br /> ' �: 'r, - • tiff '�,':��.. t <br /> r � <br /> l • <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> .• !%'• may.• /r • 5 � <br /> ;' �' , •5f f ,f,�;-• .- �,s�'•i` .fir,. ,., / . <br />