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P O SOX 218 Ston,TX 77002-7426 <br /> vv <br /> a8erkeley, CHAIN F CA,2323 51h 5!,94710 CUSTODY � <br /> (510)486-0900 Irvine,CA 2496 Oa Vinci,Rd 92714 tn <br /> Curtis & Tompkins, Ltd. (714)252-9700 <br /> Consultalnt's Name <br /> �r�S N W <br /> Address: v Page of � <br /> Site Location: <br /> CA <br /> Project# 3d v aC �� <br /> --- :17 <br /> o ect# ©� DO�--- �— _______ Consultant Work Release 0Pro ccl Contact ._�ti- [ UNC Flo - Laborator Work Release ifExXON contact N( ► c7�2 t}b ��T�Sam led b rint EXXON RAS#am ler's Si natur •� <br /> Shi ment Method' Air Bill# <br /> TAT [:]24 hr 49 hr �72 hr �96 hr <br /> Slandard(14 day) ANALYSIS REQUIRED <br /> Coll��cllnn ColtecUun AAatritt Prsv TPH/ TP-w— TRPH Temperature <br /> �arnpte Description Date a of C & T GAS/ Diesel <br /> Tone sodMaterlAir Cont SaMple# BTEX/ EPA <br /> EPA inbound Seal Yes No <br /> p Bois/ 8015 4181 <br /> 8020 Outbound Seal Yes 140 <br /> 5 - DO <br /> IL r <br /> (4 l sl <br /> alln hod b IAftiilation E)ate Time Accepted/Affiliation <br /> 6 <br /> Time AdddbndcammeM� <br /> �c7 Date <br /> ApIn <br /> L <br /> 1 <br />