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77 peako Dr <br /> MW Redwood City,CA 94063 P 0 Box 2160,Houston,TX 77002-7426 <br /> (415)364-9600 • FAX(415)364 9233 CHAIN OF CUSTODY <br /> Consultant's Name Page _4 of <br /> Is- <br /> Address `j ff Ite Location C �, <br /> Project# Consultant Project# ` Z 3C� Consultant Work Release # X93 , <br /> Protect Contact Phone#.�/dLaboratory Work Release# <br /> m <br /> EXXON Contact &001Phone # EXXON RAS# <br /> Sampled by (print) Sampler's Signature <br /> Shipment Method �1. Alr Bill # <br /> TAT. ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 9fi rd (10 day) ANALYSIS REQUIRED <br /> Sample Collection Collection Matrix # of Sequoia's TPFUGas TPH/ TRPH Tomporaluro <br /> Description Date Time SodlWatedhr Prsv BTEXI� Diesel SM <br /> A Cant Sample # 8015/ EPA 5520 Inbound 5oat res No <br /> 8020 8015 Outbound Sadl Yos No <br /> Q <br /> Cr <br /> m <br /> h E <br /> a� <br /> r <br /> I <br /> .0 <br /> 0 <br /> m <br /> m <br /> RELINQUIS1,416D /AFFILIATION Dye Time ACCEPTED/AFFILIATION Date Time AdditionalComrnants <br /> 1p� <br /> 5 <br />