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= � M = = Axa vrVN�S.� >, M ■� �� li• <br /> Chesapeake Dr <br /> Redwood City,CA 94063 P d Box 2180,Houston,TX 77002-7426 <br /> (415)364 9600 • FAX(415)364 9233 CHAIN OF CUSTODY <br /> Consultant'sNa Com' �� i���� , �C �, , 7NC6��Q K4 Page hof <br /> Address + D,C� z:�, iv cA fS�— F II au Ll -� &k-e- G Site Location <br /> Project# Consultant Project# 51!;-01 J7 —, Consultant Work Release# <br /> Project Contact r iS}Gl r-}-t Phone # �,G,�o'�d ?�r7 Laboratory Work Release# <br /> ai <br /> EXXON Contact ckr-6, C,t,,W--, Phone# �tir�� d �/�,- �i7 EXXON RAS# -7-0/237 U <br /> Sampled b (print) Sampler's Signature / <br /> P y {P ) ice' In�t�, h ( ! <br /> Shipment Method Asir Bill # 10- <br /> TAT <br /> TAT ❑ 24 hr ❑ 48 hr ❑71 72 hr ❑ 96 hr Standard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix # of Sequoia's TPH/Gas TPH/ TRPH Temperature <br /> Prsv BTEXI Diesel S M <br /> Description Hate Time Soil/Water/Air Cont Sample# 5520 Inbound Seal Yes No <br /> 80151 EPA 2Outbound Seal Yes No m <br /> C $015 0 <br /> J } <br /> r t // ED � <br /> C6 xt o <br /> Cr <br /> r <br /> 7� I f <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> PT&-Iig (7od <br />