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EXXON C& PANY, U.S.A <br /> P O Boz 2180,Houston.TX 77002-7426 <br /> CHAIN OF CUSTODY <br /> cla �Bgrkley.CA,e2323 61h St.94710 Irvine,CA 2495 Da Vinci,Rd 92714 <br /> Curtis & Tom kins Ltd. <br /> Is1u}4as-o9ao (714)252-9700 <br /> onsultant's Name, 0%jc (; j�� -� Page of <br /> iiiiL <br /> .-L <br /> �ddres6•t )� I' ���Ut'��{ �� 1�C�`['�+i 1�� Site I_ocatlon. W-K e-) E 1 Q-4- do 5T i- <br /> 'ro act c��� _ Consultant project#. Consultant Work Release# 29 WO a,5 7 <br /> 'roject Contact QUA G f0JS- Phone# <br /> Laboratory Work Release #. <br /> xxoiu contact Phone# C% - �1-L, - ?7G exxoni R,as # -C> > <br /> am led b (print) 17G.r'-1 -Topp Sampler's SI nature, flyyl <br /> hi ment Method. 11P5 NCKT �AY 41 it Air Bill <br /> J 24 hr E148 hr E]72 hr El96 hr Standard(10 day) ANALYSIS R!QUIRED <br /> TPH/ TPW TRPII temperature <br /> Colleclron Collection Malrl- Prsv #of C & T GAS/ Diesel <br /> rlrnple Description Date Pune SwtlWati r/Air Cont Simple# BTEXJ EPA BPA Inbound Seal Yes No <br /> 8015/ 8015 4181 <br /> 8020 Outbound Seal Yes No Y� 1- <br /> 1 V oc' <br /> 11-1 l l son <br /> elin ulshed by/Affiliation pate Time Acce ted/Afflllation Date Tlme A"tionalcommoara <br /> A�)( \M <br /> It-- <br />