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MO�OWN i� V.S. ✓• � � 4r � <br /> 0 Chesapeake Dr <br /> Redwood City,CA 94063 P 0 Box 2180,Houston,TX 77002-7426 <br /> (415)364 9600 • FAX(415)364 9233 CHAIN OF CUSTODY <br /> F <br /> nsultant's Namepage 1 ofdress 3y[}S jV{} 1�- 1a fVB- I U U Site Location P ,ject#. Consultant Protect# fl5,3gy . V <br /> 23cJ a Consultant Work Release#,q3001.iq p <br /> Project Contact M n Phone# 50 83-1 011 Laboratory Work Release# <br /> EXXON Contact Phone# 510VU - EXXON RAS# `1-3qH 2 v <br /> Sampled by(print) go�liQj1 c Sampler's Signature c <br /> Shipment Method U I Air BILI # <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr Standard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix # of Sequa7PH/Gas TPH/ TRPH Temperature <br /> aerature <br /> Date Time Sod/Water/Air Prsv BTEX/ Diesel S M <br /> Description Cont Sample# 5520 Inbound Seal Yes No <br /> 80151 EPA Outbound Sea[ Yes No <br /> 8020 £ 8015 <br /> 4 <br /> a' <br /> N <br /> 1 rl Blank 1r,1 HCI Z N <br /> 3 <br /> ` R) K <br /> a� <br /> r <br /> ` <br /> UV13- Mw2 II 25 E 3 F I3 <br /> 0 <br /> Q) <br /> Cn <br /> s <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> 1W &A <br /> EAf 3 F1 I i i �� i f iC� AnalYza <br /> -fir <br /> I�t-n3� <br /> 33-1 ��3 <br />