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Chesapeake Dr EXXON C(WANY, U.S.A. <br /> Redwood City, CA 94063 P O Box 2180,Houston,TX 77002-7425 <br /> (415)364-9600 - FAX(415)364 9233 CHAIN OF CUSTODY O Y1 2 <br /> Consultant's Name �� , _ Page of __ <br /> Address J '-� k. L.LT Site Location rc. <br /> Project# Consultant Project# � Consultant Work Release# CJC`3U[� <br /> Project Contact t vi' � ' Phone # � Laboratory Work Release# .. <br /> C <br /> EXXON Contact _�, �,L Phone# EXXON RAS# 7/-- 9? <br /> EXXON <br /> Sampled by(print) ���,1 .I _�i f Sampler's Sign <br /> atur . G Y <br /> c <br /> Shipment Method Air Bill # a <br /> TAT U 24 hr U 48 hr C1 72 hr U 96 hr Aandard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection TPWGas TPHI TRPH <br /> p Matrix Prsv # of Sequoias s M �� 7emperalure <br /> Description Date Time Soil/Water/Air Cont Sample# BTEX/ Diesel - — <br /> 8015/ EPA 5520 r,,., ? Inbound Seal Yes No <br /> 8020 8015 �! Outbound Seal Yes No m <br /> 96 <br /> 0 <br /> I Y <br /> I <br /> 4 <br /> R Ll�V ! Y/AFFILIATION Date Time CCEPTFD/AFFILIATION Date Time Additional Comments <br /> ► <br /> �lAA <br />