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fiU <br /> i �! LOPSN b.f�� ti t_ ttti tti !a <br /> 0 Ch <br /> esapeake Dr <br /> AWRedwood Cily CA 94463 P 0 Box 2180,Hou n,TX 77002-7426 qr <br /> (415)364 9600 • FAX(415)364 9233 CHAIN OF CUSTODY <br /> Consultant's Name wryer Z,P�, Page / of <br /> Address �> ,�," y �r Site Location <br /> Project # R/-5 4v 39 Y Z�, Consultant Project# >l�j %y!� Consultant Work Release# <br /> Project Contact XPhone # L11-1-1-2 r= i Laboratory Work Release It <br /> EXXON Contact �' � Phone # EXXON HAS # 0 <br /> Sampled by (print) <br /> Sampler's Signature <br /> Shipment Method Air Bill 4 <br /> TAT IJ 24 hr IJ 48 hr 1J 72 hr IJ 96 hr Standard (10 day) ANALYSIS REQUIRED <br /> TPH/Gas TPH/ TRPH Tern oralure <br /> Sample Collection Collection Matrix # of Sequoia's p - <br /> Date Time Sod/Waler/Air Frsv 015/ Diesel s <br /> bDescription8 <br /> Coni Sample # 80151 EPA 5520 inbound seal Yes No <br /> 8020 8015 Outbound Seai Yes No <br /> ' 7 <br /> 1 are fe �v X14 o <br /> ! ) 3n d w <br /> i�,fa dne Cdn�x�s��t } <br /> LU <br /> 0 <br /> v- <br /> m <br /> m <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time AdditionalConTments <br />