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JMWatytt§W EXXO CONNYM. 7. <br /> 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 /> Consultant's Name '� , Page of <br /> Address -% �' �' /`/ �' Site Location <br /> Protect#., .� "� ,c� Consultant Protect Consultant Work Release# [1`13 t'0lf,/1 <br /> Protect Contactf v Phone# (71�), �7c_ Laboratory Work Release# <br /> m <br /> EXXON Contact p/f�� �,�y Phone# EXXON RAS# <br /> Sampled by(print),,�. 7 Sampler's Signature <br /> Shipment Method Air gill # ° <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr A Standard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix # of Sequoia's TPHIGas TPHI TRPH Temperature <br /> Description Date Time Sotl/WaterlAir Prsv Cont Sample# BTEX/ Diesel S M <br /> p 80151 EPA 5520 Inbound Seal Yes No <br /> 8020 8015 Outbound Seal Yes No <br /> / / a <br /> V's - ^ N <br /> 14 <br /> } <br /> cU <br /> 0 <br /> Cr <br /> Q1 <br /> C� <br /> �l <br /> .c <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> i . j ,' � //,�1 ) `�- �I ff=i fl�C)f I ,'•'1 i` � �r l I r' <br />