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^.00sapeak"eAr" = � 0=10 N S.{� w � �wood City, CA 94063 P O Box 2180,Hou ,TX 77002-7428 <br /> (415)364 9600 • FAX(415)364-9233 CHAIN OF CUSTODY <br /> Consultant's Name EA E,-)g;,»Qr i <br /> Page I of 2 <br /> Address 3y(ps is - Dtobb IBINZJ 5- 100 L Q Site Location HqqLf N -%r-Kt <br /> Project# Consultant Project# _5153q 4,Z 130 p Consultant Work Release# aq�oHq Q <br /> Project Contact C Phone# 5k� 3_1O-�, Laboratory Work Release# <br /> ai <br /> EXXON Contact M Phone# (51o� 2 t. U- 81-1 CP EXXON RAS# 1- 3q y 2 U <br /> Sampled by(print) ori►¢ 6 Sampler's Signature <br /> Shipment Method S¢q vo 10. n.Air Bill # [�. <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr Standard (10 day) ANALYSIS REQUIRED —1�j 0 OL 1 l o <br /> Sample Collection Collection Matrix # of Sequoia's TPH/Gas TPFV TRPH Temperature <br /> Date Time Soil/Water/Air Prsv BTEX/ Diesel B M <br /> Description Cont Sample# 8015/ 111 <br /> EPA 5520 Inbound Seal Yes No <br /> 8020 8015 Outbound Sea! Yes No co <br /> o <br /> Cr <br /> W HCl Z X ) <br /> 3 <br /> V3 0q- 1 3 } <br /> �W Ll I Oq 35 � <br /> W10 <br /> M� 19 0 5 (C x `a <br /> O <br /> 4 Cr <br /> 0 10 2 v X in <br /> RW2 10,H i <br /> r <br /> 10 5g X <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> EA z l �C> A��OWZ4 �44 <br />