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7*oia Anal yt � � iiiiiiiiii� � � tiiiiiiiii� iiiiiiiiiii■ iiiiiiiiii� iiiiiiiiii� iiiiiiiiiii■ � � Al <br /> ical <br /> 680 Chesapeake Or EXXON COMP NY, U.S.A, <br /> Redwood City,CA 94063 P 0 Box 2180,Houston,TX 77002-7426 r <br /> (415)364-9600 • FAX(415)364 9233 CHAIN OF CUSTODY <br /> Consultant's Name e`A iFnir1. A4-ice{' (,aAA.c.t I P,AJ -T-, Page of sza <br /> Address ii-} (u`4 mt tcxpp o tvf — e 0-0 L-a ?9— +� Site Location t fj5- �iLbm<lBs'�sf�rk <br /> Project# Consultant Project# S ��( -7 �� Q Consultant Work Release# lg6o&10�! <br /> Project Contact CE-1,e1-Sr4 4 jZ iPhone# rl _ �� -���7 Laboratory Work Release# <br /> C <br /> 4? <br /> EXXON Contact Phone# C� .t Y.� �7 7�, EXXON RAS# -7_ e-D! -:3 U <br /> Sampled by(print) ctip-kS�� t CSN Sampler's Signature <br /> Shipment Method (5&(&UaA Air Sill # - a. <br /> TAT: ❑ 24 hr ❑48 hr ❑ 72 hr ❑ 96 hr tandard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix # of Sequoia's TPH/Gas TPHI TRPH <br /> Description Date Time SoillWater/Air Prsv STEX/ Diesel S M <br /> p Cont Sample# $0151 EPA 5520 Inbound Seal Yes No <br /> 8020 8015 Outbound Seal Yes No to <br /> ft''rf'T ti'� O <br /> Z5 <br /> A/R 141A ItK U? <br /> 0 <br /> 43 <br /> } <br /> 6 <br /> Q) <br /> U) <br /> W <br /> RELINQUISHEDBY/AFFILIATION Date Time ACCEPTED1AFFILIATION Date Time Additional Comments <br /> 4�s - <br />