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M - M M M M ! = M M M =4F <br /> uoia Analytical <br /> s130 Chesapeake Or GIN 69 EXXON CO NY, U.S.A. <br /> Redwood City,CA 94063 P 0 Box 2180,Houston,TX 77002-7426 <br /> (415)364-9600 • FAX(415)364-9233 CHAIN OF CUSTODY <br /> Consultant's Name _ Page of <br /> Address r 3 Site Location JLC <br /> Project# Consultant Protect# G Consultant Work Release# <br /> Project Contact 'TIPhone# Laboratory Work Release# <br /> EXXON Contact -�� ^� Phone# � $ ~� EXXON RAS# 771,37 <br /> U <br /> Sampled by(print) Z ?t( Sampler's Signature Y <br /> c <br /> Shipment Method GC1 - �� Air Bill # <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr Standard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix #of SEgU01a'S TPH/Gas TPH/ TRPH Temperature <br /> Prsv BTEX/ Diesel S <br /> Description Date Time soit/Water/Air Cont Sample# t� C <br /> 8015/ EPA 5520 '�r� Inbound Seal Yes No <br /> 8020 8015 Outbound Seal Yes No M <br /> 0 <br /> 1i A <br /> S3> �2 <br /> a <br /> - <br /> �1 - /IZS X <br /> 5V67- 2-k L, g�k I I 11�I I I <br /> RELINQUISHED 0� FILJATIOIVI Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br />