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y '`w = = = MO ISO ONN YPOS AM M M I• <br /> T—Dhesapeake Dr <br /> Redwood Ctty, CA 94063 PO Box 2180, Houston,TX 77002-7426 <br /> (650)364 9600 • FAX (650)364 9233 CHAIN OF CUSTODY <(C- C, C ( � <br /> Consultant's NameDe- �I f�rn �-- �,� - DC-- Page _ of <br /> Address l �--- -- <br /> 31 l� f r Site Location C]� <br /> Protect # Consultant Project # <br /> 1 -�G�2�� ��� — Consultant Work Release # <br /> Project Contact Phone # �G���1 _2 Laboratory Work Release r# —_ <br /> EXXON ContactC7� '� <br /> ITcc/l �. Phone # EXXON RAS # fl � v <br /> _7C <br /> Sampled by (print) Sampler's Signature Y <br /> Shipment Methodv Air 0- <br /> Bill # Y - ---- -- T L1 ' !o <br /> TAT ID 24 hr r_i 48 hr Ci 72 hr 1�1 96 hr Kstandard (10 day) ANALYSIS REQUIRED <br /> Sample Collection CoTPHIGas TPHI TRPH �O%E Temperature <br /> Collection Matrix Prsv � of Sequoia s BTEX/ Diesel S M <br /> Description Date Time Soil/Water/Air Cont Sample # 80151 EPA 5520 } Inbound Seat Yes No <br /> 8020 8015 0}tbound Seal Yes No TO <br /> Sal L /J <br /> Z --2f—Aa,5 3T <br /> SCS - - kS 1155 <br /> -- --I (5 2-55 I t <br /> RELINQUISHED BY ILI TION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> �✓ 5-2-3 6,ow <br /> � � - s. 2 <br />