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U 680 Chl&eake Drive•Redwood City,CA 94063•(415)364-9600 FAX(415)364-9233 <br /> _th2l3U1A ANALYTICAL D gig Striker Ave., Suite 8•Sacramento, CA 95834•(916)921-9600 FAX (916) 921.010a <br /> CHAIN OF CUSTODY 1900 Bates Ave., Suite LM •Concord, CA 94520 • (510) 686-9600 FAX (510)6W9689 <br /> Mobil Oil Consulting Firm: CT Station No./Site Address: ,� G�. <br /> Address: 3a A Project Contact: <br /> City: State: C Zi rr• Mobil Oil Engineer: �c <br /> Tel: S l Q - & - 9 S' Fax.: t• 6•c Sam ler S (sic nature <br /> 8 CODING <br /> a <br /> a ❑ (cheCk one) <br /> rry <br /> 0 0 <br /> y o C) a a v ❑ in _ _ Cone i Emergency <br /> i N <br /> ca mQ i �' m W tu v?❑ �' Response <br /> C U m m a v n ,.4 = 1= W <br /> a a 0 0 a a 0 rr f ro a@❑ e a Code 2 Site <br /> y k niJ o N O o m H Assessment <br /> ,�v M 1` a r a a a a a a W3J m = o <br /> a z ,- m oa w a O+ to «; w P 3 LU v iii ao Code 3 Remediation <br /> U A (Plan D&Owm) <br /> >✓� v1,10 3 -,5 <br /> r+ s ►, _ Code 4 0 Active Rented. <br /> (lnstat/Start-w) <br /> Code 5 Q Active Remed. <br /> loam) <br /> 4.- y 'f r 33 Code 6 Passive Remedl <br /> Monidoring <br /> 1 _ ` Code 7 Closure <br /> Li 04 Code 8 ❑ Conslwion <br /> f f_ e 9 LitigatioNCtaims <br /> t. -�f :sr { G' Fines <br /> Re`nquished by: Date/Time: by: Lpate/Time: Turnaround Time: (d eck orae): <br /> � : Normal-4 Sarna day <br /> paAnearst+ed by. �. Y G ?e:� L Relinquished by: Date[Time: 1 day 2 day <br /> 5 day <br /> Rer+r>quished try: Date/rime: Relinquished in Lab by: DaW irne: <br /> A%tq S �� Satrnp+a lntapraty: <br /> �\5 Intact On ke,:/ _ <br /> I 1 <br />