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r b80 Chesapeake Or L:AAUI'4 UUIVIVANYy 1J.5.N <br /> !� Redwood Clly,CA 94063 P O Box 2180,Ilouslon,TX 77002 7426 <br /> 14 15)364 9600 • FAX(415)364 9233 CHAIN OF CUSTODY <br />` me Page L_ of _ r' <br /> Consultant's Na <br /> �EL-rR �v��or•]MEt`1TAL CDnIS�L�R�Ts 1 <br /> Address 31 I Gntr-�> Cp,,uP I -tlr �ra►J�-leo Cat +4 S D Site Location ST�cx7 <br /> Project # Consultant Project # Z"3_ Consultant Work Release 46c? 370`1 �q <br /> Project Contact To�� �qL q 1-� Phone # 4�� _ OSS Laboratory Work Release# (J&m C: <br /> m <br /> EXXON Contact Mp,iz,.A Cru&&JSL!<fL„ Phone #- (1516)Zq(-8774 --- EXXON RAS # <br /> Sampled by (print) Sampler's Signatur C <br /> Shipment Method Air Bill # <br /> TAT IJ 24 hr IJ 48 hr IJ 72 hr IJ 96 hr t_] Standard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix # of Sequoia's TPH/Gas TPI-11 TRP11 TbT-at, lernperak,re <br /> Dale Time Sod/WaterlArr Prsv BTEX! Diesel S M 1-64bDescriptionConi Sample# 5520 Inbound Seal Yes No <br /> 80151 EPA <br /> 8020 8015 OulboundSeal Yes No <br /> 0 <br /> a <br /> FIL: <br /> T-NttuS ILZ7 5 aq 14— Flo -30 tfontPo5/ -s F.-Acktz- - o So/e— n! X <br /> SP <br /> -itJ > t z-7.7-7 17.14,5 SOIL +� _ _ c� S11-m PZZS A r rAIF <br /> SP I - L -W w 14 1 z-Z 7-95- 1 310 S51(- K �� LQ 6 <br /> 5 FZ - Z "40.0 L k7--Z7-17-%5' `(! -ao <br /> 0 <br /> tr <br /> m <br /> rn <br /> RELINQUISHED BY/AFFILIATION Date Titne ACCEPTED/AFFILIATION Date Time Additional Comments <br /> z S <br /> -Z7 'S J 7Z Zi70? <br /> Z r <br /> (0fl <br />