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7uoil nalyticaT �■ �� t� I� �� <br /> =70Chesapeake Dr EXXON CO NY, U.S.A. <br /> low Redwood City, CA 94063 P 0 Box 2180,Houston,TX 77002-7426 <br /> (415)364 9600 • FAX(415)354-9233 CHAIN OF CUSTODY <br /> Consultant's Names' ,intPl Page / of <br /> Address V11 WodA / Site Location <br /> Project# e5- 7- 3 y/- Consultant Project#. 5'�5'��c�� Consultant Work Release#.®" �c <br /> Project Contact. �' 1' ,� r J Phone# Laboratory Work Release# <br /> C <br /> 43 <br /> EXXON Contact Phone # EXXON RAS# 37yZ j <br /> Sampled by(print) Sampler's Signature✓LcoC �`� C fi <br /> r <br /> Shipment MethodLdnz Air Bill # a_ <br /> u <br /> TAT ❑ 24 hr A48 hr ❑ 72 hr ❑ 96 hr ❑ Standard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix # of Sequoia's TAH/Gas TPH/ 3 M H Temperature <br /> tion Date Time Soil/Water/Air _—_ <br /> Description Prsv BTEX/ 'Diesel P Cont Sample # 80151 EPA 5520 Inbound Seal Yes No <br /> 8020 8015 Outbound Seat Yes No <br /> 0 <br /> Ct Ir 7a3- <br /> 60 <br /> } <br /> 0 <br /> s <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br />