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mokm1111111 MEOW <br /> 9uoia Analytical EXXON COP#NY, U.S.A. <br /> • � Chesapeake Dr . <br /> P 0 Box 2180,Houston,TX 77002-7426 <br /> Redwood City,CA 94063 <br /> (650)364 9600 - FAX(650)364 9233 CHAIN OF CUSTODY <br /> Consultant's Name i Page of <br /> Address /1tnT �q Site Location L� <br /> Project #. Consultant Project # Consultant Work Release # <br /> Project Contact, S- en Phone # a,�� Laboratory Work Release # <br /> EXXON Contact. 5 -ce Phone # 126, EXXON RAS # -7— r' U <br /> Sampled by (print) C_hJ-LSampler's Signature, (VW A <br /> Shipment Method ", Air Bill # CL <br /> TAT. ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr Standard (10 day) ANALYSIS REQUIRED <br /> VEX/ <br /> /Gas TPHI TRPH Temperature <br /> Sample Collection Collection Matrix #of Sequoia's Diesel S M <br /> Description Date Time S011 at No/Air Prsv Cont Sample # 80151 EPA 5520 Inbound Seal Yes <br /> 8020 8015 Outbound Seal Yes No <br /> 230 <br /> Cr <br /> UV� - 1y-,w2. � 1� ' <br /> 2� o <br /> LZ <br /> 0 <br /> CrW <br /> R5LIINPUTS ED BY AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br />