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ALMMU NJ".5. <br /> 0 Chesapeake Dr <br /> edwood City, CA 94083 P O Box 2180,Ho ,TX T7002-7426 <br /> (415)ssa 9600 • FAX tat5>3sa szss CHAIN OF CUSTODY <br /> l <br /> Consultant's Name CA E n c f n 1 P 'S C I`e�-C-e 0*�, - —Fec In r6 0 page of <br /> Loctlo � <br /> N 0 � Site an 44t r 10 <br /> Address 4 , a <br /> Project# Consultant Project# Consultant Work Release# U 04q(� <br /> Project Contact h>'ts tate �ro rri Phone# —] Laboratory Work Release# <br /> m <br /> E=XXON Contact. a Ia --��� U0 Phone # EXXON RAS# <br /> Sampled by(print) �1 r (Ij h �- y(� Sampler's Signature � c <br /> CL <br /> Shipment Method Air Bill # <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr Standard (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix # of Sequoia's TPHIGas TPH/ TRPH Temperature <br /> p Prsv BTEX/ Diesel S M o 9 <br /> Description Cate Tlme Soil/WaterlAir COnI Sample# 5520 pD Inbound Seal �s `No� 5 <br /> 80151 EPA <br /> 802 8015 Outbound Seal Yes No ro <br /> 0 <br /> Q <br /> 02- <br /> 0 ts- <br /> 03 } <br /> y�wg 14(5 1 1 & oti <br /> �1^I w <br /> w � I3o5 ,� o� o <br /> Owl , 131D <br /> 1z- 12 '2 X <br /> rn- [�.D 12;U <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> r _ <br />