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Pon <br /> inaa ddrte Uf <br /> M000 <br /> IV 11M <br /> wood Crt , CA 94063 PO Box 2180,Hou TX 77002-7426 <br /> 15)364 9600 • FAX(415)364 9233 CHAIN OF CUSTODY <br /> Consultant's Namep !` n —rte Page `7 of <br /> Address $ t a <br /> 1� r �'i3 Site Location y�4 [\I y,�� ��c<<tr„ (� <br /> Protect# Consultant Project# r, Consultant Work Release # <br /> 4� t Wiz, <br /> Protect Contact Chy is-`c., �,` Phone# <br /> �{��- �- `)L) Laboratory Work Release# <br /> EXXON Contact , c <br /> �1t�. (� �� Phone # Z5— 7 EXXON RAS # <br /> Sampled b U <br /> p y (print) (hrt ��Q+ ��, Sampler's Signature ' <br /> Shipment Method <br /> Ub Air Rill # n <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr ,;S Standard (10 day) �'4o`���t5 c ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix TPH/Gas TPHI TRPH z • <br /> # of Sequoia's , <br /> Description Date Time Soil/Water/Air Prsv BTBX/ Diesel S M `" Temperature <br /> Cont Sample # 5520 1"r`F� <br /> 80151 EPA inbound Sea) Yes No <br /> 8020 8015 Oulbound Seal Yes No ca <br /> �stzr� o <br /> 1N <br /> r c�7, 1 050 <br /> n � � <br /> `'v ;33 <br /> T <br /> 1030 <br /> Cl) <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Trme Addrtrona!Comments <br />