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mnalytig" >• 411111111111 i♦ M M M wic M <br /> V <br /> Chesapeake Dr <br /> EXXON CO NY, U.S.A. <br /> 1w Redwood City,CA 94063 P C Box 2180,Houston,TX 77002-7426 <br /> (415)364-9600 • FAX(415)364-9233 CHAIN OF CUSTODY <br /> Consultant's NameEE "r �, Page ! of <br /> Address j Site Location <br /> Project#. _� c t - _ Consultant Project# Consultant Work Release# <br /> Project Contactt ' ;, 1 t� { Phone # qt L/ ��' Laboratory Work Release# <br /> a� <br /> EXXON Contact 1�.. �,C , ril.{ (�� Phone# EXXON RAS# f c{ U <br /> Sampled by(print) Sampler's Signature <br /> Shipment Method r> r -Ll V q -" Air Bill # <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr ❑ Standard (10 day) , ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix # of Sequoia's TPwGas TPHI TRPH Temperature <br /> Description Date Time Soil/Water/Air Prsv Cont Sample# l3TEX1 Diesel S M <br /> 80151 EPA 5520 inbound Seal Yes No <br /> 8020 8015 Outbound Sear Yes No tti <br /> O <br /> rr <br /> Llvp �vr �)xtttp"1 r I` 1�(, � G i) I r`I� 1 X cn <br /> f <br /> 0 <br /> t <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> r <br />