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` L�l1C01��0 Y .� I• �� <br /> esapeake Dr <br /> edwood C4,CA 94063 P 0 Box 2180,Houston,TX 77002-7426 <br /> (415)364-9600 • FAX(415)364-9233 CHAIN OF CUSTODY <br /> FAdcdress-3a/ <br /> sultant's Name `~ n Page _�of <br /> J} SiteLocationtJGect# t�s 7'✓ /Z Consultant Project# 515'371-12- Consultant Work Release# 3 <br /> Project Contact ll°JGrIrFS Phone # �lr ��•�ys-� Laboratory Work Release# <br /> EXXON Contact Phone# EXXON RAS# U <br /> Sampled b (print)p Y(I} ) , d Sampler's Signature <br /> Shipment Method c <br /> a r, Air Bill# CL <br /> TAT, 1:124 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr Standard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix #of Sequoia's TPH/Gas TPH/ TRPH <br /> Descn �uw <br /> ption Date Time Soater/Air Prsv Cont Sample# gTEw S M Temperature <br /> Foo Diesel may) <br /> 8015/ EPA 5520 FInbound Seal Yes No <br /> f 8020 8015 Outbound Seal Yes No <br /> ` ��` """ o <br /> u wet 3/7/77 yl�d Jci: <br /> of <br /> a� <br /> 0 <br /> a <br /> Cr <br /> ai <br /> I N <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> 4,Z <br /> 3� a <br /> MA,icl1C � j��� <br />