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0 MAW <br /> 80 Chesapeake Dr EXXON C ANY, U.ST. <br /> NORedwood City CA 94063 P 0 Box 2180,Houston,TX 77002-7426 <br /> (415)364-9600 • FAX(415)364-9233 CHAIN OF CUSTODY <br /> ~ "7�'� 3 <br /> Consultant's Name EA I Q-Y� -Tech nc- all Page <br /> Address �(a r3kvoc Sit B[00 Site Location JI '�( <br /> Pr h• s}oc%:,,- C,�, <br /> Protect# Consultant Protect# J 15 3r-�14 L . t--,00 Consultant Work Release# 0 L vL( <br /> Protect Contact Gt5� Phone # 2j� �6��'7 p'� Laboratory Work Release# ` <br /> a� <br /> EXXON Contact C C�U-,,,Vv` Phone # �2�� c Lo - c�-77 EXXON RAS # —7 <br /> Sampled by (print) Girl r i 5 Sampler's Signature I x <br /> c <br /> Shipment Method �i Air Bill # CL <br /> TAT ❑ 24 hr ❑ 48 hr Cl 72 hr ❑ 96 hr Standard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix # of Sequoia's TPH/Cas TPH/ TRPH �2b Temperature _ <br /> Date Time Sod/Water/Air Prsv BTEXI Diesel <br /> Description Cont Sample# 8015/ EPA 5520 Inbound Seal Yes No <br /> 020 8015 Outbound 5oal Yes No N <br /> Cr <br /> J1 �.,+�/ p� 0 <br /> wiz 11 f � 3 <br /> 0 <br /> vi <br /> _ (2-w <br /> P-wz <br /> 0 <br /> Cr <br /> N <br /> T- <br /> 2- <br /> :Ivv <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> s�zl- p� 2 <br /> 153- <br /> X- - - -- - , - -- - � -- ----- --- --- -- <br />