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uoiaAnalytical EXXON C�ANY U.S.A.CD-0-0 Chesapeake Dr 0 <br /> 140 Redwood City,CA 94063 P O Box 2180,Houston,TX 77002-7426 <br /> (415)364-9600 • FAX(415)364 9233 CHAIN OF CUSTODY <br /> f <br /> onsultant's Name. 0600 ��5 Page �of J— <br /> ddress. /03-0 1174E- j) # j '6c:0LIQ{ Site Location, L� --i <br /> roject#• Consultant Project#: C��Y �C'y� , <br /> 1 Consultant Work Release#• r ZS <br /> Project Contact. mA Phone#: C1 I Z-a IU Laboratory Work Release#: <br /> EXXON ContactLDPhone#: ��(Q-!O 9 r EXXON RAS#. 7 -� 3 v <br /> Sampled by(print). dr LL lKW o OUA L,V Sampler's Signature: <br /> Shipment Method. Air Bill#, a <br /> TAT. Li 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr Standard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection M IX Priv Cont <br /> of Sequoia's TPH/Gas TPH/ TRPH Temperature <br /> Description Date Time sol ater it Cont Sample# BTEX/ Diesel S M <br /> 8015/ EPA 5520 Inbound Seal Yea No <br /> 8020 8015 Outbound Seal Yes No <br /> O <br /> 1 0 VC <br /> v <br /> mw -Z �` Roll' oA'i8 � 0b91 � <br /> 5 t OL° oq•gq 3 <br /> MW - <br /> a <br /> 7 3 Cr <br /> Cn <br /> r <br /> RELINQUISHED BY/AFFILIATION Date Time 1,1CCEPTED/AFFILIATION Date T1me AddltlonalComments <br /> -u _�� Old [a z3�rr lboo <br /> I � r <br /> f <br />