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❑ 680 Chesapeak e• Redwood City, CA 94063•(415) 364-9600 FA}�WdyiA <br /> 1 SE40IA ANALYTICAL ❑ 819 Striker Ave. Suite 8• Sacramento, CA 95834. ( )916 921-9600 FAX (916) 9210 <br /> CHAIN OF CUSTODY ❑ 1900 Sates Ave., Suite LM • Concord, CA 94520 • (510) 686-9600 FAX (510) 686-9689 <br /> obit Oil Consulting Firm: (,`` F' Station No./Site Address:p —3 �^ G <br />`ddress: v Project Contact: <br /> Cit : L, State: zip: �`srd Mobil Oil Engineer N-5- t6d ! <br /> Fax.: Com' Sampler(s) (si nature): <br /> CODING <br /> a (check one) <br /> a N <br /> N N W a 1° $ x Code 1 Emergency <br /> a79 1 <br /> '� a w a N d Response <br /> .n L. m w <br /> o C 0 3 a e ¢ m m W m ° a Code 2 [� Site <br /> m m 2 �, "' � 1 o_❑ w a N N a p` N �$ Assessment <br /> 0. x N X W 0 . ID c0 �D N V Vi N <br /> E t E ; a s v a d a a w in o x 2 Code 3 0 Remediation <br /> us g a i- z ►- m m w r 0 O I- uj w {=W -j -j w ca m co <br /> , (Plan DevlpmtJ <br /> Ak4 - f (� y �� j� L Q 0 1 5 Ab <br /> 6041 <br /> Code 4 Active Remed. <br /> - V 5 (InstalUStart-up) <br />` Lo _ l Q 58 Code 5 Active Remed. <br /> (o a M) <br /> 59 Codes Passive Remed' <br /> I 0 1 60 X, Monitoring <br /> 1 sl Code 7 0 Closure <br /> 1 041-162 Code 8 Q Construction <br /> � 0 1 63 <br /> Q 1 s4 Code 9 � Litigation/Claims <br /> )� Fines <br /> elinquished by: Date rime: Relin uis by: Datelrime: Turnaround Time: (check one): <br /> .4 h5 Lq ttj .rj Normal Same day <br /> elinquishe b : Date/Time: Relinquis ed by: Date/time: t day 2 day <br /> 1� i5 5 days <br /> el,nquished y: Date/time: Relinquish i bb DalelTlme: <br /> JL- rp b�S Sample Integrity: <br /> emarks: Intact on Ice <br />