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equosaAnalyticat EXXON CC&ANY, U.S.A. <br /> i � <br /> Chesapeake Dr N I <br /> r Redwood Ci ,CA 94063 P O Bax 2180,Houston,3X 77002-7426 <br /> ry <br /> (650)364-9600 FAX cssot 364-9233 CHAIN OF CUSTODY <br /> Consultant's Name: F-A 004I tii n t n mac. c • r� 'fr'c i1 r-1c>l Page of <br /> r ti ocr-f <br /> ` Site Location, JL, ,&S_� C./1-b, f�4, r� <br /> Address: ( � t- . < -( � �1� � '� ,t7 i-c .{—c.w � t � <br /> Project#: Consultant Project #. -5( Consultant Work Release#. f�, .JCS <br /> Project Contact: 4\A cPhone#• ` - r ��� Laboratory Work Release# a <br /> Y' LILEXXON Contact: r t c� C, t , Phase # ' j ' S �, , EXXON RAS #: _ J -, 7 U <br /> Sam led b (print} Sampler's Signature: � _ /� t c <br /> >� y L r ti he .tic t� <br /> a <br /> Shipment Method: �� C..C1c- Air Bill #: <br /> TAT: ❑24 hr ❑48 hr A72 hr ©96 hr Q Standard (10 day) Cl 90 ANALYSIS REQUIRED <br /> TPH/Gas TPH/ TRPH Temperature <br /> Sample Collection Collection Matrix Prsv of Sequoia's BTEXI Diesel S M Inbound Seal Yes No <br /> Description Date Time SoIIIWaterlAlr Cont Sample# 8015/ EPA 5520 Outbound Seal Yes No <br /> 48020 8015 0 <br /> Cr <br /> -A .2 <br /> t <br /> YLW.3.► <br /> wL[ 0 <br /> o <br /> Cr <br /> LQ 7 Q <br /> G t � <br /> Trt P(3,--RU <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> 6U�o 1•2.S zDI <br />