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EXXON COMPANY, U.S.A. <br /> aceF O Box 4415 Houston TX 77210-4415 <br /> C0RP0RATE0 ® CHAIN OF CUSTODY <br /> � NY <br /> ME ASS UB Atic F OF 00 AFITY <br /> Consultant Name /� f <br /> Novato, CA Address too j,,e_ S ZQ S l [ V Fi)I <br /> 11 Digital Drive,94949 Protect Contact (ryt �-T �'- ___ Protect_# c> --oD 1 —0 l__ <br /> (415)883-6100 Phone# i, S'— 3-91 Sk. Fax# q 15--3 -CZ Z-:3 <br /> ❑ Irvine,CA Consultant Work Release# <br /> Alton Business Park ,�/] <br /> 30 Hughes St , Suite 206,92718 Exxon Contact 11A^1-�,V Phone# 3-1 z%j 6—9 7` )- <br /> (714) 380-9559 site RAS# O O <br /> SEte Location 3 i Z S Li e f o i Ibrr S CA-- <br /> Laboratory Work Release# <br /> Sample by(plepnnt) SpfL WATER _ a <br /> ,j h7WIl63 <br /> Samp er Signature ate Sampled w <br /> a _ '� <br /> Sample ollection #of y ` d a � Remarks <br /> escnpGon Date/Time Matrix Prsv Cont <br /> CL aw �o LOU ww OQ �w FS-((n <br /> P 10 JS� 4 01 <br /> Z frz I x 1 ' <br /> 1 0 <br /> J <br /> t 1 l o <br /> t o <br /> {� r 83) S x �. .y �C /0 <br /> %176S, X 2 3 )< �o t <br /> � -� fns s X Z •0 �C �� <br /> T�Z o Relinquished by/Affiliation A e ited by/Affiliation Date Time <br /> Cooler Seal <br /> Intact <br /> N5 -/ ozo - <br /> Yes ViA Ce /t1 F <br /> ❑ No <br /> Turnaround Time <br /> (circle choice) <br /> 24 hr <br /> 48 hr N <br /> 72 hr <br /> 96 hr <br /> 0 <br /> {stand <br />' hipment Method Additional CRmmnt� > 1� �� r� w b�"� c�"�,# �, "�V-p <br /> Shipment Date <br /> Distnbution White-Original Yellow-Exxon Pink-Lab Goldenrod-Consultant Field Staff <br />