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2of 2 <br /> EXXON COMPANY, U.S.A. <br /> P O Box 4415 Houston TX 77210-4415 <br /> IN �CDRPDRA7EDCHAIN OF CUSTODY <br /> HE <br /> ASSURANCE OF OUA LITY <br /> Consultant Name <br /> Novato, CA Address 00 <br /> 11 Digital Drive,94949 Project Contact of S Project off-061- 03 <br /> (415) 883-6100 Phone# S) 3 _c> 5C Fax# &1 !5)599— <br /> El <br /> J $ rj99r❑ Irvine, CA Consultant Work Release# <br /> Alton Business Park <br /> 30 Hughes St , Suite 206, 92718 Exxon Contactorf Phone# TZ9-$77 <br /> (714) 380-9559 Site RAS# p <br /> Site Locat= 31210 , Holt Qf W ;tDn CA <br /> Laboratory Work Release# <br /> Sampled by(please print) SOIL WATER <br /> Sa p rSignature ate Sampled x, <br /> I-Sample lection #of a 2 6 2 9 3 =d Remarks <br /> Description Date/Time Matrix Prsv Cont a s 3 a = a a a s i s o <br /> Hw lLw b0 r-w ww Oo �w E-� 0 <br /> AL-76 Lfr <br /> _ OSS rn lti <br /> (If 12-01 <br /> In Ca o <br /> V If <br /> MIN <br /> cf �G�b <br /> C31 1 <br /> FI-H74 4 50 <br /> G l_6.q rt lyvs rf I117 /IT <br /> �l o <br /> HI-Tr q it r�livis fr I X b( 1P Cc s, Hh�Hy <br /> 0o r No Relinquished by/Affiliation Accepted by/Affiliation Date Time <br /> Coolar Seal <br /> intact <br /> ® Yes Jt•VI Ol ) 4 q., 11 ' t7 0 <br /> ❑ No ,, �S Com. •f <br /> Turnaround Time <br /> (circle choice) <br /> 24 hr <br /> 48 hr <br /> 72 hr <br /> 9 <br /> workday <br /> (standar <br /> #pment Method Additional Comments <br /> ®= Re4VJ06d Lord�;tt <br /> Shipment Date K r F R <br /> Distribution White-Original Yellow-Exxon Pink-Lab Goldenrod-Consultant Field Staff v <br />