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4 Chesapeake Dr <br /> wood City, CA 94063 P O Box 2180,Hous ,TX 77002-7426 <br /> (415)364 9600 • FAX(415)364-9233 CHAIN OF CUSTODY <br /> Consultant's Name l = AIVO Lz c Page of <br /> Address r (�( -PA �`— ~ Site Location 9-" y do <br /> Ot t!/ 5,TDC k-1q <br /> Project# Consultant Project# 5�5-3� ¢� �3U v Consultant Work Release# C1d <br /> project Contact Fllal.S Q phone# 5�V_ �3_ Laboratory Work Release# .. <br /> EXXON Contact f10jt2LA C�� �( � Phone# l '1 T) <br /> C� � L ,4 0T S 17 EXXON RAS# 7 3 - U <br /> Sampled by(print)- ej4rZL5 C 1 OCAyQA Sampler's SignatureNn -an C <br /> Shipment Method Alr Bill # n- <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr Standard (10 day) ANALYSIS REQUIRED 7(7615 <br /> Sample Collection Collection Matrix prsv # of Sequoia's TPH/Gas TPH/ TRPH Temperature <br /> Description Date Time Soil/Water/AuCont Sample# BTEX/ Diesel S M <br /> 8015/ EPA 5520 Inbound Seal Yes No <br /> 8020 8015 Oulbound seat Yes No <br /> _ p <br /> 1 7 13 0 ro,ke� i~►c+ 3 t 9 NoL-D cr z� <br /> a <br /> 0 <br /> a <br /> Cr <br /> W <br /> U) <br /> REY <br /> 1�?UJSW BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> r <br /> �64- <br /> 1110 tl1� <br /> WWI <br /> Q Z��? /3a <br />