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_1IftesapeakeDr r—AA N LOUM Y, U.S.A. - <br /> RW <br /> ood City, CA 94063 P 0 Box 2180,Houst ,TX 77002-7428' �! <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 t Phone # 'ce ? rL Laboratory Work Release# <br /> EXXON Contact. Phone# �� <br /> +� �� EXXON RAS # U <br /> Sampled by (pant) � Sampler's Signature <br /> c <br /> Shipment Method Air Bill # Ci <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr AStandard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix # of Sequoia's TPHJGas TPF/ TRPH ' <br /> Description Date Time Soil/Water/Air Prs� BTEX/ Diesel S M tLS'1 lli Temperature <br /> Cont Sample# 8415! 5520 Inbound Sea! e� No <br /> EPA (� <br /> 8024 8015 outbound Seal Yes No rz <br /> Q <br /> Cr <br /> Im <br /> z, 4 <br /> J 1 <br /> w A <br /> 5 <br /> �I <br /> O <br /> PqPj ,7 Cr <br /> J <br /> /"11131/ �3 �,!t� a� <br /> ( <br /> I <br /> RELINQUIS D Y/AFFILIATIO Date Time CEPTED I AFFILIATION Date Time Additional comments <br /> Ir ' S/s� SPC'lIUiJJ �zs <br /> � �7 ST-0 " 6 t <br /> 1/ - -2 <br /> eSC 2 I �' -!r <br />