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u UY c� r MWOMOSRN0.0S � <br /> Chesapeake Dr <br /> Redwood CR CA 94063 PO Box 2180, Houston,TX 77002 7426 <br /> (650) 364 9600 - FAX (650) 364 9233 CHAIN OF CUSTODY <br /> Consultant's Name ' FN -w f��- �i�*- t , Page - of <br /> Address ��6 r d Site Location <br /> Project # Consultant Protect # Consultant Work Release # <br /> Project Contact JV1 t,�� Phone # Laboratory Work Release # <br /> EXXON Contact # <br /> #Phone EXXON RAS - <br /> rs —_ - <br /> Sampled by (print) � V Sampler's Signature <br /> Shipment MethodAir Bill # CL <br /> TAT ❑ 24 hr ❑ 48 hr E1 72 hr U 96 hr Xstaridard (10 day) ANALYSIS REQUIRED <br /> ;'r5l1 <br /> TPH/Gas TPHI TRPH Temperature <br /> Sample Collection Collection Matrix # of Sequoia s BTEX/ D e A S M I ll <br /> Inbound Sea! Yes No <br /> Description Date Time Soil/Water/Air Cont Sample # 80151 EPA 5520 Iltbound Seal Yes No <br /> 8020 8015 I �2 Lo <br /> 0 <br /> Cr <br /> ,50 <br /> } <br /> Z S <br /> R <br /> sg-s-rZ .s <br /> RELINQUISHED BIY,XFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br />