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-a uoiamna ua' EXXON C(WANY, U.S.A. <br /> 4:D080Chesapeake Dr, <br /> woRedwood City,CA 94063 P.O.Box 2180,Houston,TX 77002-7426 <br /> (415)364.9600 • FAX(415)364-9233 CHAIN OF CUSTODY <br /> Consultant's Name: vD� Page of <br /> Address: f p r t -?.t ;� C x'��i]c G Site Location. <br /> Project#: Consultant Project#: 6. �U Consultant Work Release#: 96 <br /> Project Contact: rO�i i�lf Phone#: ?� ,_ '-•��-j Laboratory Work Release#: <br /> I. � <br /> EXXON Contact: , C; xe,,,1S,i!Pr Phone #: EXXON RAS#: - U <br /> Sampled by(print): '�� �--�~d�pS Sampler's Signature: <br /> Shipment Method: Air Bill#: <br /> TAT: ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr Standard (10 day) qS-0-763( ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix #Of Sequoia's TPHIGas TPHI TRPH Temperature: <br /> Date Time Soil/Water/Air f rSV BTEX/ Diesel S.M. <br /> Description Cont. Sample# 80151 EPA 5520 Inbound Seal: Yes No <br /> 8020 $015 Outbound Seal: Yes No <br /> •5 <br /> A7.-06 <br /> - �� • Z9- �} � � Viz_ <br /> } <br /> U) <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> 4- I�0e) <br />