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sapeasce rCQ�Q N S.� 1• w� <br /> MC <br /> �,M ,!wood Gity CA 94x63 P O Box 2180,Hu n,TX 77aa2 7426 <br /> (415)364 9600 • FAX(415)364-9233 CHAIN OF CUSTODY <br /> Consultant's Name Page 'Z of 2 <br /> Address 3L405to 81vJJ e looLC& ¢ Site Location y q4 N, ; <br /> Project# Consultant Project# 516361H2 1300 Consultant Work Release#.meq t 90 <br /> Project Contact C ' (00 Phone# (S l0 2g3_10.11 Laboratory Work Release# <br /> 2 <br /> EXXON ContactPhone# 5 ,� 2 LJG _ g 110 EXXON RAS# 1- 34 7 U <br /> Sampled by (print) 010 Sampler's Signature <br /> Shipment Method 9 Wlo, I Air Bill # rr 4 <br /> TAT ❑ 24 hr 1:148 hr ❑ 72 hr ❑ 96 hr Standard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix #of Sequoia's TPF/Gas TPF/ TRPH Temperature <br /> DescriptionDate Time SaMater/A�r Prsv Cont Sample# UTEw Diesel S M <br /> 80151 EPA 5520 Inbound sea[ Yes No <br /> 8020 8015 Outbound Seal Yes No Ca <br /> 0 <br /> Cr <br /> P2 r 2 I ti O ca 1,,I HC l 3 (D Un <br /> 3 <br /> o <br /> a) <br /> MW3 7.0� fs X ro <br /> 0 <br /> a <br /> MWs 12 ��J Cr <br /> ZZ <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> 0,.;L0 <br />