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uom Analyiscal EXXON CONY U S.A. <br /> ■"Y. Chesapeake Dr <br /> Redwood City,CA 94063 P 0 Box 2180,Houston,TX 77002-7426 <br /> (650)364-9600 • FAX(650)364-9233 CHAIN OF CUSTODY <br /> Consultant's Name 6"71 C, .n �) (— . Page 'of <br /> Address. / d l� /1 Site Location- <br /> Project# , Consultant Protect # [,A-ipp t Consultant Work Release # fg <br /> Project Contact r k6 (:X K\Gk(klv\,a Phone # — �'1_ til(Lr Laboratory Work Release # <br /> EXXON Contactffi(Skt�.CA,_ &Ukj,,OS V` Phone # ( EXXON RAS # -7-- 3� v <br /> Sampled by (print) t� (� -bU��, Sampler's Signature ' (gtkk <br /> Shipment Method Air Bill # <br /> TAT. ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr Standard (10 day) ANALYSIS REQUIRED <br /> ET,PHIGas TPH/ TRPH Temperature <br /> Sample Collection Collection Matrix Prsv # of Sequoias Z)6TEX1 Diesel S M inbound Seal Yes No <br /> at <br /> Description Date Time Sall it Cont Sample # 80151 EPA 5520 Outbound Seal Yes No <br /> 8020 8015 <br /> 0 <br /> 6,va4Py` Nuc 3 t , <br /> 4- <br /> /01-/7 c <br /> qw <br /> co <br /> Cr0 <br /> i <br /> RE 1NQUISH O BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> JrI <br />