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0ei M M is �■1lxt�l�U NVM.S.W.M �. <br /> 0 Chesapeake Dr <br /> dwood City,CA 94063 P O Boz 2180,H ,TX 77002 7426 <br /> (415)364-9600 • FAX(415)364 9233 CHAIN OF CUSTODY <br /> Consultant's Name F4 T-e h` \o Page of <br /> Address (� !] 5/V r(J C" ftp c Site Location <br /> Project# Consultant Project# sr Consultant Work Release# '' Cr <br /> Project Contact "rk5 f- ���y��,� Phone # 01' 3- �o� Laboratory Work Release# <br /> EXXON Contact Phone# /op 2EXXON RAS# <br /> Sampled by (print) Chor , � Sampler's Signatured4b A� <br /> Shipment Method S-? U0r Air Blll # <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr 096h Standard (10 day) ANALYSIS REQUIRED 2- �'7 <br /> Sample Collection Collection Matrix # of Sequoia's TPH/Gas TPH/ TRPH Temperature <br /> Prsv BTEX/ Diesel S M <br /> Description Date Time Soil/Water/Air Cont Sample# 80151 EPA 5520 (�,(7 Inbound Seal Yes No <br /> 8020 8015 <br /> Outbound Seal G i 2N J 1 <br /> 0 <br /> 0 <br /> ,n <br /> �2 v t� <br /> u rm U,) �c7 G2Cr <br /> UlCU <br /> a <br /> lJ02- <br /> v� 9 5c; oF� <br /> V oLk <br /> RELINQUI H D BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> 7 %' I r j Ill oT ]c�-; fXT <br />