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�equora Analytical EXXON CIFFANY, U.S.A. <br /> 680 Chesapeake DrC) j <br /> Redwood City, CA 94063 P 0 Box 2180,Houston,TX 77002-7426 <br /> (650) 364-9600 • FAX (650)364 9233 CHAIN 0 F CUSTODY <br /> Page of <br /> Consultant's Name ��� Q.�/ y� _ <br /> Address �yy fj�(�c1 <br /> Site Location -/,(c{r{ M, Prl6hr S�acx <br /> Protect # Consultant Protect # Up Consultant Work Release # <br /> Protect Contact Phone # e.Cw _ '7Q 1 Laboratory Work Release # <br /> EXXON ContactPhone # Q��- y'b- ���p EXXON RAS <br /> Sampled by (print)- YDS Sampler's Signature <br /> IL <br /> Shipment Method* Air Bill # - -� <br /> TAT. ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr >i5tandard (10 day) ANALYSIS REQUIRED <br /> TPH/Gas TPH/ TRPH Temperature <br /> Sample Collection Collection Matrix #o{ Sequoia's BTfX/ Diesel S M <br /> PfSV C� Inbound Seal Yes No <br /> Description Date Time S0114OO/Air Cont Sample # ,. 80151 EPA 5520 Outbound Seal Yes No <br /> 8020 8015 0 <br /> Cr <br /> 1001 0 <br /> PwZr 1ZOo m <br /> 0 <br /> Cr <br /> 00l.ERCU TODYS tSINIAC ❑ OT N�ACTG ti1P <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFF L MPER TIS c01tional Comments <br /> 1 <br /> VMI t r� Itr�i 1r ri <br />