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EXXON CNA PAN Y, U.S;A <br /> P Q Box 2180, slon,TX 77002-7426 0 <br /> CHAIN OF CUSTODY <br /> cc <br /> Berkeley,CA, 2323 6th SI.94710 �Irvine,CA 2496 Da Vinci,Rd 92714 <br /> (610}486 0900 <br /> Curtis & Tompkins, Ltd. (714)262100 <br /> :onsultant's Name: <br /> I� Page <br /> K`� ot` <br /> address: P-AP� I---VA If�crsp rI ,�� Site Location. �'� �!< T 1'i'Y <br /> �S EI l 01o, S 5 k <br /> 'ro ect#' �'� l)�'� Consultant Project# Consultant Work Release #, dq 100a <br /> 'ro ect Contact. ?VAI G rQg- Phone# -cLaboratory Work Release # <br /> XXON Contact' YY .t C „ L'�'�r l��r Phone# C% - �` -�• - 0 �] -7L RAS #, 7-0 1 ,�- <br /> am led b Tint �G�11 ��(�S <br /> n <br /> Sampler's Signature. 1.:" , 2_ <br /> h1 ment Method: NKr 6Y fit Q Air 8111#, <br /> 1 75.7q 1T [:]24 hr 48 hr 072 hr 96 hr Standard(10 day) ANALYSIS RE;QUIREt? <br /> TPH/ TPW —TR PH Temperature <br /> Collection Collecllon Matrix Prsv #of C & T GAS/ Diesel <br /> irnple Description Dale Time Soil/Water/Air Cont Sample# BTEX/ EPA EISA <br /> Inbound Seal Yes No <br /> 80115/ 8015 4181 <br /> 8020 Outbound Seal Yes 140 <br /> IS 5Si- <br /> a <br /> 1 Ac, <br /> VI) <br /> S 11-1(�r(d I ��S -IEEE <br /> � X <br /> 4>,zkj,,�- 6 I IA -94 t 5o(-) <br /> .V S c`1 - X <br /> elan ulshed by/Affiliation Date Time Acce tedlAffillatlon Date Time Aft4onalcommsnrs <br />