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�t 1Ca,jlllllllllllllli � EMN MMFW, ll�.A. i <br /> 6 hesapeake Dr <br /> Redwood City,CA 94063 P Q Sox 2180,Houston,TX 77002-7426 <br /> (4 15)364 9600 • FAX(415)364 9233 CHAIN OF CUSTODY <br /> Consultant's Name Page —/---of <br /> Address Site Location <br /> Project# Consultant Project# S1. -13Consultant Work Release # <br /> Project Contact Phone# _ Laboratory Work Release# <br /> T <br /> EXXON Contact Phone # EXXON RAS # <br /> Sampled by(print) �e�t� a Sampler's Signature <br /> Shipment Method Air Bill # d <br /> TAT ❑ 24_h, 48 hr ❑ 72 hr ❑ 96 hr ❑ Standard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix # of Sequoia's TPH/Gas TPH/ 7RPH Temporaturo —_ <br /> Date Time So�I/WaterlAir Prsv BTEX/ 'Diesel SM <br /> Description Cont Sample# 80151 EPA 5520 Inbound seal Yes No <br /> 0020 8015 Outbound Sea! Yes No <br /> O <br /> OA/ !del` VB !3-d3 Cf1r 3 x a� <br /> 3 <br /> 0 <br /> i <br /> } <br /> m <br /> a <br /> Cr <br /> m <br /> m <br /> � I <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> /64- 5A�7 <br /> `,/ ► <br />