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oia naiyUcaI� <br /> ou Chesapeake Dr EXXON CO NY, U.S.A. <br /> Redwood City, CA 94063 PO Box 2180,Houston,TX 77002-7426 <br /> (415)364-9600 • FAX(415)364-9233 CHAIN OF CUSTODY <br /> Consultant's Name EIN rneartn <br /> Page t of � <br /> Address 3 (p T p i Q t o 100 Site Location <br /> II>r05 5 EI 5kT- <br /> Project#• Consultant Project#.5 I�Q 131 Consultant Work Release# <br /> I�p0(P I U { <br /> Project Contact �� (� �^�UGav Phone# Laboratory 7 1 - { 11( 2 4 --14 15 O y Work Release# <br /> EXXON Contact GU2rf314., Phone # EXXON RAS# 1 - p I 1 <br /> 3 <br /> Sampled by(print) L3an!¢fin Sampler's Signature U <br /> x <br /> Shipment MethodC Air Bill # <br /> � <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 9s hr Standard (10 day) W:&� <br /> ANALYSES REQUIRED <br /> q� o-19 to <br /> Sample Collection Collection Matrix Prs� # of Sequoia's TPH/Gas TPH/ TRPH <br /> Description Date Time Soii/waler/Air Cont Sample# BTEX/ Diesel S M Temperature <br /> 8015/ EPA 5520 inbound Sea] Yes No <br /> 8020 8015 Outbound Seal Yes No <br /> i <br /> moi'' K >-1C 1 2 01 X Cr <br /> m <br /> v� <br /> R Q1cY1 (� o&L 0 <br /> 1♦ct 3 ,b L X <br /> Mw� 0�4 03 X <br /> MW Q 0g04 04 x <br /> 0 <br /> Mw2 4� Cr <br /> tv <br /> MW-3 0 <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional comments <br />