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,X11 <br /> EXXON COMPANY, U.S.A. <br /> P O Box 4415 Houston TX 77210-4415 <br /> INC 0RPpRAFED � CHAIN OF CUSTODY <br /> HE ASSURANCE QF QUALITY �SI✓ <br /> Consultant Name <br /> 5Q Novato, CA Address fI A VdWff <br /> 11 Digital Drive,94949 Project Contact 0 Pro ect# Q , 001 <br /> (415)883-6100 Phone# - 442a Fax 3 S 9- <br /> ❑ irvine, CA Consultant Work Release# <br /> Alton Business Park <br /> 30 Hughes St , Suite 206, 92718 Exxon Contact Phone# ILI — 2 <br /> (714) 380-9559 Site RAS# �' c'�n 0 <br /> f l <br /> Site Locabon ( Z - W P r13-e" <br /> Laboratory Work Release# <br /> SAWpled by(please print) SOIL WATER <br /> t <br /> p r Signature Date Sampled W� w <br /> Sample oll ction #of § 8§ _1 F x o Remarks <br /> T= <br /> C SCA R 4 <br /> Description Datemme Matrix Prsv Cont a LU a w o o w w o o ¢w 0 <br /> IVS <br /> Iwo 1 6 S •7 ZC ,PA all 6 <br /> 15=s2. S IS s X <1004'UjWkk 81 <br /> 15"573 S 1Q •3 t I <br /> d sN P Ila 104 s 2 1 x6AmI ' <br /> o`�o�r o Relinquished by/Affillation Ccepted by/Affiliation Date Time `n <br /> 1 T <br /> Cooler Seal <br /> intact 61z&t 0z� Q <br /> I► Yes <br /> Cd ti VIN <br /> ❑ No �lIC"Ir <br /> Turnaround Time <br /> (circle choice) <br /> 0 <br /> 24 hr <br /> 48 hr <br /> 72 hr <br /> 96 hr <br /> 1-5 wo a <br /> standard) L: <br /> �{1lpment Method - Additional Comments <br /> P-u N To TA-t,MeT lPrLs -PO 1, C42-4-b , N t, P 6. <br /> Shipment Date—] 111FLEve" "flyE S PPM (CC+b) 2-:1 PPM CNit <br /> eL10MCAi0n +4S CUA" POP a als. <br /> Distribution White-Original Yellow-Exxon Pink-Lab Goldenrod-Consultant Flela Staff <br />