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Mr <br /> OpeWk � 000 NMWS.� ��Ql.�lSTQD I.S�N T❑ NO"TA <br /> Redwood City, CA 94063 P O Box 2160, Houston, TX 77002 7426 <br /> (415)364 9600 • FAX (415) 364 9233 CHAIN OF CUSTODY QQZERTEMPERATURE OC <br /> Consultant's Name G1`�- '44 Page of <br /> Address 6,4—,d 121z, 6cHL 4. u,� Site Location tx <br /> Project# Consultant Project# �, _ U��f Consultant Work Release# UV�(9L, <br /> Project Contact �� ` Phone # f��?� �,v�c, Laboratory Work Release# <br /> EXXON Contact Phone # c <br /> ✓ EXXON RAS# -3 7(� U <br /> Sampled by(print) ��iy �<< Sampler's Signature k �, — <br /> c <br /> Shipment Method Air Bill # O 0- <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr Standard (IQ day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix # of Sequoia's TPH/Gas TPH/ TRPH m'1 <br /> Description Date Time Soil/Water/Air Prsv STEX/ Diesel 5 M Temperature <br /> Cont Sample # /.(/ <br /> 80151 EPA 5520 inbound Seal Yes No <br /> 8020 8015 outbound Seal Yes No ca <br /> `o <br /> Cr <br /> rnLAI o �� ( 02- <br /> 7 <br /> 0 <br /> `v <br /> Cr <br /> N <br /> coL <br /> /7- O <br /> REL HED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> � s2 <br /> k2 <br /> -- f `��—/7 l l Lj / - /1 it / a ! f n <br />