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AIN OF CUSTODY ❑ 819 Strike `., Suite 8-Sacramento, CA 95834•(916) 921-9600 FAX (91 -0100 <br /> V 1900 Bates Ave., Suite LM•Concord, CA 94520• (5 10) 686-9600 FAX (510) 886-9689 <br /> Mobil Od Consulting Firm: <br /> Station NoJSite Address: 3 <br /> Address: i.//�� p Project Contact: `S[c �(� qc5 p <br /> C State: (i Zip: ��-��2) Mobil Oil En ineer. fr2, � �Gtp <br /> Tei: �/S� Fax.: Stn �D� �ZwD Sampler(s) (si nature <br /> a g ; CODING <br /> c7 N ❑ 3 (check one) <br /> 0 0 <br /> c m oQDN Q a U ❑ $ x Code 1 Q Emergency <br /> o o w c v CL to 0 N A =Ci <br /> w m Response <br /> a ro W Ea- m Q m w@ a �. s. Code 2 Site <br /> CD m m S M w a 8 cli <br /> W � �{ O F o 3! � Assessment <br /> E ' a E E u� a x V) .n x ¢ a s CD �+ <br /> i= a z' ti m m w C'3 O w w w F F w n m Code 3 Remediation <br /> x g I a (Pian Oevlpmt.) <br /> p Code 4 Active Reined. <br /> — 5 O j o (Instail./Start-up) <br /> Sl0 13I <br /> Code 5 Active Rented. <br /> ALr 3 (o&M) <br /> Code 6 Passive Relmw <br /> 5 fo a I <br /> Monitcritig <br /> Code 7 Closure <br /> 14-1 <br /> OPT L001 ode 8 Q Construction <br /> � q7 Code 9 = LitigatioNClaims <br /> r Fines <br /> Relinquished by; Date/rime: Relinquish by: Date Ime: Tumaround Time: (check one): <br /> 7 '� 3 A ' Normal Same day <br /> Relinquished by: DatefFime: wished by: ` De: 1 day 2 day <br /> t 7 00 A A, 5 day <br /> Rewng6shed D tine: in Lab b . ^�DL4'5 <br /> rTie;1 { 1 Sample Integri : �� <br /> Remarks: infect On k o /� <br /> 74 fi <br /> `I <br /> 2 O 'J�II"7 ►�G.� <br /> p41 <br />