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lytic M MOAILFOrvvy�r§.Aw w <br /> ThesapeMV0 <br /> ake Or <br /> P 0 Box 2180,Houston,TX 77002-7426 <br /> Redwood City,CA 94063 <br /> (415)364 9600 FAX(415)364-9233 <br /> CHAIN OF CUSTODY <br /> Page of <br /> Consultant's Name c—/--) <br /> -� <br /> _r 1 c Site Location <br /> Address 3 1J Y t_J L� 3 o 9L <br /> Project# �- <br /> Consultant Project#, Consultant Work Release# i <br /> Phone # Laboratory Work Release# <br /> Project Contact °i <br /> EXXON ContactIt-1 CI Q - <br /> Phone# EXXON RAS # <br /> } Sampler's Signature _ ` <br /> Sampled by (print) ��YIC 1 -� >;Gt+ t <br /> Shipment Method. � P,[� >"1`' Air Bill # <br /> TAT ❑ 24 hr ❑ 4B hr ❑ 72 hr ❑ 96 hr Standard (10 day) ANALYSIS REQUIRED <br /> TPHIGas TPHI TRPH Temperature <br /> Sample Collection Collection Matrix Prsv # of Sequoia's BTEX/ Diesel S M <br /> Description Date Time Soil/Water/Air Cont Sample# B0151 SPA 5520 Inbound seat yes No <br /> Outbound Seat Yes No <br /> 8020 8015 0 <br /> Q <br /> o <br /> RELINQUISHED 13Y1 AFFILIATION Date Time 1ACCEPTED/AFFILIATION Date Time Additional Comments <br /> 1,414 z <br /> I � � <br /> r <br /> Z �� � <br />