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'� ""' Q819 Strike' , Suite 8+Sacramento. CA 95834 • (916) 921-9600 PAX (9 6)w 140 <br /> A!N OF CUSTODY ❑ 1900 Bates Ave., Suite LM +Concord, CA 94520 * (510) 686-9600 FAX (510) 686-9689 <br /> Mobil Oil Consulting Firm: !Ll 10eo Station NoJSite Address: Ily/- 3413 l-f (� <br /> Address: Project Contact: Ay�—� <br /> c I State: 04 Zip: 9�i3�5�v Mobil Oil En inset. �,Qi(if?i O <br /> Tel: ,E'j 9/Sd Fax.: o606 57e-40 Sam )ler(s)( si nature): <br /> CODING <br /> a � h <br /> (check one) <br /> La CV m m m a $ ❑ g Code 1 ❑ Emergency <br /> o <br /> w �_ u m w ti ❑ a ; Response <br /> f m p p O Q .- 0 0 47 co I w y rt <br /> o c a m m v v <br /> E w a o ¢ m a ❑ U Code 2 Site <br /> a K in m $ o ~ ,a❑ 0 w w t o ff mp 92 10 Assessment <br /> W ff o i- a z t- m m w r- c0 o ►- w w w -j -j w n in in so? Code 3 <br /> �IY. ❑ Remediatigs� <br /> ` O R-16 1 � (Man Dev#IVM) <br /> 5 � � code 4 ❑ Active Reined. <br /> O <br /> (Instatt./Stan-up) <br /> Code 5 ❑ Active Remed. <br /> (ODM) <br /> Code 6 Passive Reared/ <br /> Monitoring <br /> Code 7 ❑ Closure <br /> Code 8 ❑ Construction <br /> Code 9 ❑ t.iligation/Claims <br /> Fines <br /> Relinquished by: terrime: S.;6 Re' ished by: Date rime: T round ; <br /> (check one): <br /> a Same day <br /> Rete ui ed by: /e. Dateffime: Relinquished by: Datelfima: d 2 day <br /> 7 <br /> 1,6-Z 5day <br /> Relinquished by: Date(Time. Rehngnished nLab by: DatwTime: <br /> G Sample Integrity: <br /> Remarks: Vintact On Ice <br /> 9 <br /> j" <br />� L <br /> , � f OT q <br />