Laserfiche WebLink
.— - M -M = = = 8RXfflFCCVA^, AT <br /> M— O Chesapeake or <br /> Redwood City. CA 94063 P C Box 2180,Houston,TX 77002-7426 <br /> (415)364 9600 • FAX(415)364 9233 CHAIN OF CUSTODY <br /> Consultant's Name ,sC I eviC.C,1 arG1 `re h,,ID[o Page mot <br /> Address 346>8 6> rn f C(�r 6l o syle '0164) (-0 Site Location i4qqq N P0--�171n ,S{-ktrm CA <br /> Project# Consultant Project# Consultant Work Release# q'30 q9 D <br /> Project Contact Chr l5 ChC-,+bL--rn Phone # ,�� p� a�3- 7v Laboratory Work Release # <br /> EXXON Contact I}l(nr to_ Liv Y Phone # L7(0---246— S77EXXON RAS # 7 3�4o'L. U <br /> Sampled by (print)' Chr16 CJL1cAfbL)-Yn Sampler's Signature C: <br /> Shipment Method s C Q U U�,°, Air Bill # a <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr Cl 96 hr aStandard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix # of Sequoia's TPHIGas TPHI TRPM Temperature <br /> Description Date Time Soi[Mater/Air Prs� Cont Sample# BTEX/ Diesel 5520 SZbD <br /> $015/ EPA Inbound Seal Yes No <br /> Outbound Soal Yes No ca802a Sa15 O <br /> mo <br /> 3 <br /> o <br /> r <br /> /00-5 <br /> t <br /> r c.� 13z - <br /> ie�y q3 0 �5 <br /> 0 <br /> trt <br /> Y-1 <br /> T, <br /> 15-14s- <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> 6A 3- Ll-0/? 4/1 0 <br /> Z 5Z66 <br /> Wo <br />