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E ❑ 680 Chesa Drive•Redwood City, CA'94063-41419r3tY4.9600 f-AX(415)� J. <br /> ALUOIA ANALYTICAL ❑ gig Striker ve., Suite 8•Sacramento, CA 95834• (916) 921-9600 FAX (9160100 <br /> CHAIN OF CUSTODY ❑ 1900 Bates Ave., Suite LM •Concord, CA 94520• (510) 686-9600 FAX (510) 686-9689 <br /> Mobil Oil Consulting Firm: -Q. Station No./Site Address: <br /> Address: (/`t �t✓� �� <br /> Project Contact: Ma <br /> city: ; 'M M State: Zip: 'm Mobil Oil En ineer. At <br /> Tel: 51a rPotar /�� Fax.: Sro 606— Z 6� Sam lets (sic nature): <br /> S y CODING <br /> ¢ a o <br /> El <br /> 3 (check one) <br /> 0 Ln _M a <br /> m o o m ars ❑ g x Code 1 0 Emergency <br /> m y a w a m Response <br /> LD Lu <br /> CD <br /> O n 0 o a 0. a < 00 Q m a'❑ V Code 2 ❑ Site <br /> 6 A v w a❑ �' °- * e o m a Assessment <br /> CL x CA a '' xrx �7 "' m w Co c� 0 e o us <br /> we m a �^ E a lit W ¢ x rn °� x Q ¢ ¢ <br /> E m >, r H o a -� a a a �' m m Q z Code 3 ❑ Remediation <br /> Q z r m mwr (9 o r-- w w w � � � � w a id m <br />\ � <br /> H2 o ��6-Y �� �� /Y\/ (Plan Devlpmt.) <br /> ' � \ , <br /> Code 4 Active Remed. <br /> (InstaIIJStart-up) <br /> Code 5 ❑ Active Remed. <br /> (0&M) <br /> Code 6 Passive Remed! <br /> Monitoring <br /> f Code 7 ❑ Closure <br /> i <br /> Code 8 ❑ Construction <br /> Code 9 ❑ LitigationlClaims <br /> Fines <br /> Relinquishe t (Time: Relinquish y: DateMme: Turnaround Time: (check one): <br /> Normal Same day <br /> Refinq rsh atelTlme: Rel' quis ed.by' Date 8: 1 day 2day <br /> 5 day <br /> Relinquished by: tainme: Relinqul by: I Dalenrime: <br /> CJ �� L I l Sample Integrity: <br /> Rem rres: r Intact On lee <br /> (A <br /> ( <br /> I <br />