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i♦ 680 Chesapeake DrLED _ i ! � w � <br /> EXXON PANY U.S.A.. <br /> Redwood City CA 94063 tD P 0 Box 2180,Houston,TX 77002-7426 <br /> (415)364 9600 , FAX(415)364-9233 co CHAIN OF CUSTODY <br /> � Consultant's NameCfiA It L&I 10K 00 -51C Lt to GVL-,-J i?c•/n, 6 n Page of <br /> Address <br /> � s , c'li(' Site Location (,�0 —s E/ (ug �-4r5rk-file <br /> Project# <br /> Project � <br /> Consultant Work Release# o iConsultant # 5150!'' 7 60 <br /> Project Contact Phone# <br /> q- Laboratory Work Release# c <br /> EXXON Contact �,R t,�,��L� Phone y(0- ��( EXXON RAS# 7- Q/ U <br /> Sampled by(print) ��'16 t1A- G Sampler's Signature Y <br /> Shipment Method S'& , <br /> Air B[II # <br /> C�fi <br /> TAT. ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr Standard (10 day) ANALYSIS REQUIREDO a <br /> � 0 1bC.�1 <br /> Sample Collection Collection Matrix # of Sequoia's TPH/Gas TPH/ S M Temperature <br /> Description Date Time Soil/Water/Air Prsv Cont Sample# BTEX/ Diesel <br /> 8015/ EPA 5520 inbound Seal Yes No <br /> ea, 8020 8015 Outbound Seal Yes No m <br /> O <br /> 3 Cr <br /> t <br /> y <br /> 717 <br /> w-5 l25 X <br /> Cr <br /> TR t p �31.�N K IV R <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> t- <br /> �� r. 10 1016 <br /> Y <br />