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I <br /> �uoia cal r r E) NA. <br /> 680 pealo Dr <br /> 19"9 LW <br /> Redwood City,CA 94063 P O Box 2180,Houston, 002-7426 <br /> (650)364 9600 • FAX(650)364 9233 CHAIN OF CUSTODY t <br /> i <br /> Consultant's Name Delta Environmental / Blaine Tech Services, Inc. page / of 2 <br /> Address 3194 Gold Camp Dr, Suite 200, Rancho Cordova, CA Site Location 1605 S.EI Dorado,Stockt(n <br /> Project # Y/ll//30 )c z Consultant Project # Consultant Work Release #• 19908582 <br /> Project Contact Jim Brownell Phone # 916 63$-2765 Laboratory Work Release # <br /> c <br /> EXXON Contact Darin Rouse Phone # (925)246-8768 EXXON RAS # 7_0137 v <br /> Sampled by (print) /�-UU Sampler's Signature _ Y <br /> Shipment Method Air Hill # <br /> I <br /> TAT 0 24 hr 0 48 hr 0 72 hr 0 96 hr 0 Standard (10 day) ANALYSIS REQUIRED <br /> TPH/Gas TPH/ TRPH MTBE Temperature <br /> Sample Collection Collection Matrix Prsv #of Sequoia's BTEX/ Diesel S M (8020) <br /> Description Date Time Soil/Water/Air Cont Sample# 8015/ EPA 5520 Inbound Seal Yes No <br /> 8020 8015 Outbound Seal Yes No m <br /> 0 <br /> n <br /> o <br /> U) <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> BTS <br /> CkO s,4 rzVl CZ.-�o <br />