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j-W-1"''°`Y`' ExxoN conrvv u.s.a. <br /> sesapeahe Or <br /> Redwood Oily CA 94063 P O Box 2180,Houston,TX 77002-7426 <br /> (4 15) 364 9600 • FAX(4151 364 9233 CHAIN OF CUSTODY <br /> Consultant's Name QI=L7W El0k/1R0AJ1nEAU7-NL Cv.JSv(,7Afn L /,VC, Page _l—of <br /> Address :3/ � a P 1 .2 #¢ p 7.4A/C,-16 CoZvpJ,# C Site Location S7zx-,<7-oAJ - <br /> Project # Consultant Project # Consultant Work Release #. <br /> �43 - 8 9 09300 <br /> Project Contact T- A Phone # (716 - 639 -ZOE Laboratory Work Release# I r <br /> (�Q <br /> c <br /> EXXON Contact a� <br /> M�RL.A� G-i Cn15LEk- Rhone # -5-�� _ z�!_g� EXXON RAS#. 3 U <br /> Sampled by (print) -T� _ Sampler's Signatur ` <br /> Shipment Method -DELI UEa Air Bill #. n. <br /> TAT IJ 24 hr 1-148 hr IJ 72 hr (J 96 hr C1 Standard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix # of Sequoia's TPH/Gas TPW TMH '�°`� Temperature <br /> Description Hale Time Soll/WaierlAlr Prsv Cont Sample # BTEX/ Diesel j" <br /> 80151 EPA 5520 �i�V` Oulbo d Seal Yes No <br /> 8420 8015 ((J/ oul#�oundSeal Yes No <br /> 6 <br /> vr �Ea_ Cr <br /> _ 11-29'-T -7 _ ,4 7F-rL Mc L <br /> m <br /> Ta,J K- P%T-_z X112_ I l i� r <br /> T-A Hirt A r - 1 _ !-10U l l L ' <br /> 1 h til 14- PI T - -Zi'-9 5 1 -4 r s- 51011— AJC V& I y <br /> m <br /> S <br /> 6 <br /> Ul <br /> In <br /> D1 <br /> L <br /> RELINQUISHED BY/AFFIL.IATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> �.�� -�/� �EC�/ !7--Z8�i:� /SS Z s b,T69 -r7�t✓ <br /> a� utA� <br /> z 4 It 1-)A-7- <br /> 1 C)"i <br /> 5br L <br />