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i � � � � � � ti � � # i� ■■■A firi � awi <br /> Sequoia Analytical EXXON C PANY, U S.A. <br /> 680 Chesapeake Dr <br /> Redwood City, CA 94063 P 0 8ox 2180,Houston,TX 77002-7426 <br /> (650)364 9600 • FAX(650)364-9233 CHAIN OF CUSTODY <br /> Consultant's Name 61A L�5/? I nen 7G�MGy-yG( l��d rz Page l of <br /> Address (o6� { � �� (j (�o —1 - 1� � a Site Location g4g4l i(J Shirt 647(ti,'1 <br /> Project # Consultant Protect # 3 �(� � ;) Consultant Work Release # 0l30Wg0 <br /> Project Contact r5 ark, Phone # ���' r ' =!C7 Laboratory Work Release # <br /> C: <br /> EXXON Contact ��� G, s Phone # QHS (� - EXXON RAS # znl ; U <br /> Sampled by (print) �� �� Sampler's Signature <br /> Shipment Method �(j U {� Air Bill # °- <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hr jifStandard (10 day) ANALYSIS REQUIRED <br /> TPHIGas TPHI TRPH Temperature <br /> Sample Collection Collection Matrix # of Sequoia's �BTEX/ Diesel S M <br /> Description Date Time Soil/Water/Air Prsv Cant Sample # `80151 EPA 5520 Inbound deal Yes No <br /> Fz 8020 8015 Outbound Seal Yes Na <br /> D <br /> ��/ �/ 0 <br /> lz5� V vaf f t�Gi `� G� /` a0 <br /> o <br /> w 14 t22-0 °3 <br /> 7 ys <br /> 7� r <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br /> ZIA <br /> 1 <br />