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VJ .4 <br /> aceEXXON COMPANY, U.S.A. <br /> P O Box 4415 Houston TX 77210-4415 <br /> R P 0 R A T E <br /> P14C QsCHAIN OF CUSTODY <br /> HE ASSURANCE OF QUALITY <br /> Consultant Name <br /> 1PNovato, CA Address 100 -St sI& 'fi <br /> 11 Digital Drive,94949 pro ect Contact Pro ect# <br /> (415) 883-6100 Phone_# (�j f 4 2* I —&f f r& Fax# C q i,) 399— O'-1 Z 3 <br /> ❑ Irvine, CA Consultant Work Release# <br /> Alton Business Park <br /> 30 Hughes St , Suite 206, 92718 Exxon Contact Phone# p — <br /> (714)380-9559 Site RAS# 7-31-30 <br /> Site Location 31 x8 ft) 141ft Dr'. . SfcFk —i (t� <br /> Laboratory Work Release# <br /> Sampled by(please print) SOIL WATER <br /> r~� <br /> Sampler Signature ate Sampled w Q w <br /> sample Collection #of $ my a a I' Remarks <br /> Description Date/Time Matrix Prsv Cont o o w w Ecol I w CnV1I q, s <br /> usPos i`�`r; <br /> S S $.,I illourr l <br /> x <br /> i E 8K- 7FL.i.w BB- <br /> - fS ' ► t' <br /> " 't I I �f d y iuE u -3r <br /> Qo 5 <br /> :2 -5- 16 7,0 <br /> 3 � <br /> 1 S� d x <br /> ►� Co.,..r A <br /> 1313 - 5 r5 I l I o o -� 139-7F!; <br /> 6a <br /> 6 fS'�C l <br /> p <br /> ler No Relinquished by/Affiliation Accepted by/Affiliation Date Time <br /> Cooler Seal <br /> Intact � �z 15, 60 <br /> IJYYes <br /> 1:1 No 10r <br /> Turnaround Time , <br /> (circle choice) <br /> 24 hr fN <br /> 48 hr <br /> 72 hr <br /> 96 hr <br /> 5 workday <br /> (standard) <br /> Additional Comments CA <br /> Shipment Method Add <br /> Shipment Date <br /> Distribution White-Original Yellow-Exxon Pink-Lab Goldenrod-Consultant Field Staff <br />