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%OF*wood City.CA 94063 PO Box 21 B0,Hoa 77002-7425 q--7 01 <br /> n <br /> (415)364-9600 - FAX(415)364-9233 CHAIN OF CUSTODY i /-� <br /> Consultant's Name EA E:� - Page 1 of a <br /> Address 31- US I - I00 Site Location IUO5 5 q CLMJo <br /> Project# Consultant Project# S LI5p 13-7 I3ov Consultant Work Release# 9(Dp(D i Q <br /> Project Contact C M Phone # 51 v n3-107 Laboratory Work Release# <br /> ai <br /> EXXON Contact Phone # 51 v 2�ifo-S�[�Lv EXXON RAS# <br /> Sampled by(print) R, S314 Sampler's Signature x <br /> c <br /> Shipment Method Air BIII # a <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr Standard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix prsv #of Sequoia's TPFVGas TPH/ SJRPH Temperature <br /> wa <br /> Description Date Time Soillter/Air Cont Sample# BTEX/ Diesel <br /> 8015/ EPA 5520 Inbound Sea! Yes No <br /> 8020 8015 Outbound Seal Yes No <br /> O <br /> Cr <br /> ir-i I a�k — �-.f HCL Z 1 )C U) <br /> glonk i 121.19-1 0-130 HC 3 <br /> 3 } <br /> w ag 3a � � 27 <br /> MW Cy 0,6 �t 1 <br /> Mw z •oz 5 X <br /> MW3 0°1 1Lj 5 <br /> O <br /> MW ti CR z 7 �( <br /> 0 q 5 O g ' <br /> L <br /> MW 14 d 03 <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time AddltlonalComments <br /> AA <br /> I--4-ret <br />