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7%= =1111 =1111 <br /> is Analytical EXXON COM Y, U.S.A. <br /> 4D680 Chesapeake Dr <br /> Redwood City,CA 94063 P 0 Box 2180,Houston,TX 77002-7426 <br /> lowCHAIN OF CUSTODY <br /> (415)364 9600 • FAX(4i5)364-9233 <br /> Consultant's Name 15:n en I Page of <br /> � _ � Site Location � er <br /> Address•3 i �r e W G r3 l <br /> Project# Consultant Project# 7 39 a Consultant Work Release# <br /> Project Contact Phone# Z�3 Laboratory Work Release# <br /> v <br /> EXXON Contact MCAdcG Phone# EXXON RAS# 7 39 i L,2— v <br /> Sampled by(print). 0n le �Or. Sampler's Signature ti �r <br /> Shipment method( 7i l Air Bill # <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr A Standard (10 day) ANALYSIS REQUIRED <br /> TPH/Gas TPH/ TRPH Temperature <br /> Sample Collection Collection Matrix Prsv # of Sequoia's t3TEX1 Diesel S M inbou <br /> Description Date Time SoilMlater/Air Cont Sample# 80151 EPA 5520 Ouibo ndse Seal Yes No <br /> Outbound Seal Yes No (a <br /> 8020 8015 0 <br /> I � <br /> V3 <br /> 08 24 qN oC13 7 QMC 3 <br /> ?< o <br /> cr <br /> f�'1L,J t Cj i c <br /> o <br /> _3 y <br /> `� <br /> C) <br /> /K T I <br /> ELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> 1,�1 rr�1 �— - — -- - — -- -- <br /> G Z <br />