Laserfiche WebLink
cXXON COMPANY, U.S.A. <br /> aceP O Box 4415 Houston TX 77210 4415 <br /> fNl <br /> cllHPOBp7Eos CHAIN OF CUSTODY <br /> ASSUAANLE OF QUA LfTY <br /> Consultant Name <br /> Novato, CA Address 149 D S'L, C.��n� „'F�_ Ste, f�Z��a , 11 wa l e� c- - <br /> 11 Digital Drive,94949 Proect Contactels Project# O I 0 0(- <br /> (415)883-6100 Phone# Ll 1 S 3,71— 5 6 Fax# s- 3 fig-04 z-3 <br /> ❑ Irvine, CA Consultant Work Release# <br /> Alton Business Park [ <br /> 30 Hughes St , Suite 206,92718 Exxon Contact 6rgt: D.c./Y]-A r)d Phone# 5/Q--1! Y 6- 9'7-70 <br /> (714)380-9559 Site RAS# 7- ?j 33 v _ <br /> Site Location Z W r, 140) f i.J4l• CK-1-0,q <br /> -Y <br /> Laboratory Work Release# cc <br /> Sampled by(please o6-5 <br /> o6-5SOIL WATER t a <br /> Sampler Signature Date Sampled w o �` w <br /> �� " 4 <br /> Sam a Collection #of e � o w <br /> p -§ Remarks <br /> Description Date/Time Matrix Prsv Cont a w �w S t'w w w 6 o -: <br /> 11 ,0, Y 2. till �i,( I x <br /> s <br /> S-- z !� I� ll-?-q MI 1 2 X <br /> s'-.3 Wo" <br /> s yr ' " 17,:WX <br /> w <br /> 13 D" 1r 13=`{D rt t <br /> x <br /> f r 1 soo II )( <br /> �� e r,'ou <br /> O U if ��. rl j X <br /> s 1 r'p'' ti <br /> s I a �`o" 11 IbQI II r x 2 3 <br /> Relinquished by/Affiliation Accepted by/Affiliation Date Time <br /> 7 <br /> P400ler Seal <br /> Intact <br /> Yes I _�"�E r �.+Vi Gt [�►W [Nt Elul( [ l0 9� I '�� <br /> ❑ No °vi'b �i� T/b �l a <br /> Turnaround Time <br /> (circle choice) <br /> 24 hr <br /> 48 hr <br /> c72 h <br /> 96 hr -� <br /> O <br /> n <br /> ipment Method Additional Comments40 m <br /> "For Corrfirrrttier Sa)vo0e& � <br /> Shipment Date1P I Vt4 +o+PA 1 eA" 4111 r /toTydI s a-Ltl 0-' tl-bm 13 �sv4.J V 1 <br /> rvn g H cmA &010 LJwf o r Os A 11124 (vse- vT w 1.73iz^a 4 <br /> Distribution White-Original Yellow-Exxon Pink-Lab Goldenrod-Consultant Fielo Stall <br />