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L- <br /> + uc� " I♦ E"O[MMWY, �.A- _� _ <br /> W esa Bake Dr r <br /> + wo Redwood City,CA 94463 P 0 Box 2180,Houston,TX 77002-7426 ) <br /> (415)364 9600 • FAX(415)3649233 CHAIN OF CUSTODY <br /> Consultant's Name. Cf) C-'w Page of <br /> Address: `/lre iX' ) '/ - , �-�- Site Location: 'Y l"I" c hoi , / }'L <br /> Project#. Consultant Project#•�37f'G�� / 7 Consultant Work Release#:%�fi3��'�f/(1 <br /> Project Contact: 7��c�' F(tL - Phone#• 51 C) �� �— 7�> > Laboratory Work Release#: C <br /> w <br /> } EXXON Contact t1;1_S e_ Phone# f EXXON RAS# <br /> Sampled by(print): Pi.) Lo;S a Sampler's Signature. <br /> Shipment Method- -r Uv GL_ Air Bill#• �� <br /> n. <br /> TAT ❑ 24 hr ❑48 hr ❑ 72 hr ❑ 96 hr ❑ Standard (10 day) flk?u+ ANALYSIS REQUIRED 404 <br /> Sample Collection Collection Matrix #of Sequoia's TPH/Gals TPH/ TRPH � `� Temperature <br /> Date Time Soil/WaterlAir PrSV BTEX/ Diesel SM <br /> Description Date Sample# +�••'"" <br /> � w $0151 Epp 5520 .�� ^" " Inbound Seal Yes No <br /> f 8020 8015 oumaund Seal Yes No <br /> 0 <br /> N2 1(41 LLP <br /> Ar U.) <br /> �( 0 <br /> ,7c1(lZhtto A/ <br /> Na <br /> R„ <br /> v r <br /> ' Cr <br /> RELINQUISHED Y/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br />