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�. 1E" �■. .� t� 1"Xa94';O N1�S.d!" <br /> Chesapeake Or ,l} Ir. <br /> Redwood City,CA 94063 P 0 Box 2180,Houston,TX 77002-7426 l F) <br /> IJL/� <br /> (415)364 9600 • FAX(4 115 364 9233 CHAIN OF CUSTODY Y <br /> Consultant's Name Page of <br /> Address — T /� l� Site Location I <br /> Project# Consultant Project# Consultant Work Release#�1_�/Y <br /> Project Contact Phone # 7G� Laboratory Work Release# <br /> ai <br /> EXXON Contact Phone # EXXON RAS # <br /> Sampled by (print) Sampler's Signature <br /> CL <br /> Shipment Method Air Bill # <br /> TAT ❑ 24 hr 1:148 hr 72 hr ❑ 96 d (10 day) ANALYSIS REQUIRED GCv04 E�2�E�3 <br /> TPN/G s TPN/ TRP!I Tempura�uro <br /> Sample Collection Coltectl Matrix Prsv # of Sequoia's BTE Diesel S M <br /> Description Date Time Soil/Water/Air Cont Sample 0 80151 `l EPA 5520 Inbound soal Yus No <br /> 9020 9015 ouihourui seal yns No m <br /> 0 <br /> Cr <br /> 6L <br /> 03 > <br /> o <br /> a <br /> ✓ 9Y /Il O 07 <br /> ✓'� � JS 0� r <br /> 01 x <br /> RELINQUIM BY FFmATION Date Time ACCEPTED/AFFILIATION Date Time Addiflonal Colnmenls <br />