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❑ 680 ChesapeakRedwood City, CA 94063•(415) 364-9600 FAX (415)364-9 `",. a <br /> E' SE '31A ANALYTICAL ❑ 819 Striker Ave. 3t'te 8•Sacramento, CA 95834• (916) 921-9600 FAX (916) 921W <br /> R / CHAIN OF CUSTODY ❑ 1900 Bates Ave., Suite LM • Concord, CA 94520 • (510) 686.9600 FAX (510) 686-9689 <br />,obil Oil Consulting Firm: ��"� Station No./Site Address6q-343 S� <br /> dress: )^1 J Project Contact: <br /> t : rr, <br /> State: A Zip: —Q Mobil Oil Engineer J C� <br /> Fax.: /O -46 0 Sam ler s si nature : f <br /> CODING <br /> to C " (check one) <br /> l7 Y M 0❑ N <br /> m o � ° ¢ v L Code 1 Emergency <br /> m n¢. W F ❑ a N m Response <br /> S o v o W °° p o a vi N cn W m <br /> c U° C to¢ z CO W o N o A 0 W Code 2 Silo <br /> 6 CL O o O � o a ¢ m �a �❑ rn () a T <br /> m m U w N- t� 0-❑ W 4 N N N 0 1- m uWi c�r1 Assessment <br /> a fA U W 0 c3 CD 1A N rn u1 <br /> c m m E a w Ld Q 2 ur Cd Z Q ¢ Q m M ' m m m <br /> ►- 0- a m n a- a a ;v d o ° Code 3 Remediation <br /> z F- as m w r o 0 $- W w W 1= � , � w n m 'ro <br /> 9-1110 -1 <br /> - <br /> � 4s 1>ZV I 01 65 � (Plan devlpmt.) <br /> Code 4 ❑ Active Reined. i <br /> t i it�b <br /> 6041 66 (InstaIIJstart-up) <br /> �J <br /> Code 5 Active Reined. <br /> l (0&M) <br /> Code 6 WPassive Flemed <br /> Mon)toring <br /> Code 7 Closure <br /> Code 8 ❑ Construction <br /> Code 9 Litigation/Claims <br /> Fines <br /> ib. Datelrime: Retln uish Datelrime: Turnaround Time: (check one): <br /> elrnquished q Y' <br /> 1.5 r Normal Same day <br /> elinquished y: Dale/Time: Relinquish d by: Date/Tlme: f day 2 day <br /> 5 day K <br /> 1elinquished by: Datelrime: Relinqu' b by: ate(riml!e: <br /> tS tO sample tnlegrity: <br /> marks: Intact On Ice <br /> s <br /> { <br /> ':I <br />