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wl■Is sem■ ■■i■f w■� �■ we � �� �� � � �■�■ � � � � <br /> Iq quota Analytical EXXON CO ANY U.S.A. <br /> e 680 Chesapeake Dr t <br /> Redwood City,CA 94063 P O Box 2180,Houston,TX 77002-7426 <br /> (415)364 9600 • FAX(415)364 9233 CHAIN OF CUSTODY <br /> Consultant's Name cA en (ne-e n 1 ) r-?aid Page of <br /> Address M1_ i ' j p ( Va( ��� ICY L «-� " Cc.` Site Location <br /> Project# Consultant Protect# f Consultant Work Release# <br /> Project Contact (2--`45-�R Phone# `70-7 -7 Laboratory Work Release# <br /> a� <br /> EXXON Contact A � Phone# 2 - y ,� EXXON RAS# - �1 `�" ) <br /> Sampled by(print) {���c� KA iJ Sampler's Signature ? f c <br /> Shipment Method :56C-�Loo(rq Air Bill # <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr ® Standard (10 day) ANALYSIS REQUIRED r���]OCq <br /> Sample Collection Collection Matrix # of Sequoia's TPH/Gas TPH/ $RAH Temperature <br /> Date Time Soil/Water/Air Prsv BTEXI Diesel <br /> Description Cont Sample # 8015/ EPA 5520 Inbound Seal Yes No <br /> 8020 $015 Outbound Seal Yes No <br /> o <br /> Cr <br /> Irl w <br /> w 7 Qin <br /> gam-, <br /> J2rhse G 164111� <T30 v- <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments; <br /> n <br /> 00V <br />