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naiyrX� � 1N T� <72 <br /> S <br /> M080 Chesapeake Dr <br /> Redwood City,CA 94063 F)7/4 <br /> P 0 Box 2180,Houston,TX 770(415)364-9600 • FAX(415)364 9233 CHAIN OF CUSTO <br /> Consultant's Name CA Page24— <br /> of <br /> Address f�p r/(� r Site Location <br /> Project# Consultant Project# Consultant Work Release # �3do <br /> Project Contact � ����� Phone# 1o /� �]-7� Laboratory Work Release # <br /> m <br /> EXXON Contact /—/ s � Phone # PXXON RAS# <br /> Sampled by (print) Sampler's Signature <br /> Shipment Method a Air Bill # <br /> TAT ❑ 24 hr 1:148 hr ❑ 72 hr ❑ 96 hr ❑ Standard (10 day 6 ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix # of Sequoia's <br /> TPWGas TPHI TRPH Tompara�ura <br /> Description80151 pDate Time Soil/Water/Air Prsv Cont Sample# 80151 EPA Diesel 5 o I y(�� inbound Sed Yes No <br /> N" <br /> 8020 8015 Outbound Seal Yos No m <br /> as IoFz or <br /> ��CC13 ID�19 2 M Z ��IGL �j 2 <br /> /037 <br /> 2 � <br /> .I 2 9 <br /> Vol <br /> rd <br /> �3 L19 o <br /> 4 <br /> 30 �C <br /> RELIN9U1 HEDO/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br />