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qq <br /> EXXON COMPANY, U.S.A. <br /> P Q Box 4415 Houston TX 77210 4415 <br /> opaceoCHAIN OF CUSTODY <br /> ASS UAANCE OF QUALITY <br /> Consultant Name ., QVrteSr�uK__�k+[�rrBuweeE.`I�I [_'�rtSctlT vrlf <br /> Novato, CA Address I Q L- Hwy . 51il e- 24 5 6 g Kit L� Neu , CA 9041 <br /> 11 Digital Drive,94949 Project Contact ,� �,��zS � �5 --- Project# f � -- � <br /> (415) 883-6100 Phone# ( j 5") .64St- __ Fax# (y I s � <br /> ) , 9- D4 23 <br /> ❑ Irvine, CA Consultant Work Release# <br /> Anon Business Park <br /> 30 Hughes St , Suite 206,92718 Exxon Contact i6ree- 1 Dem H-V ifo Phone# (6-io) ;06-9-770 <br /> (714) 380-9559 Site RAS# 1-- _::z3 3 O <br /> Site Location 3 i 2 R W, E eu i c[i,,A,u„06 DO, SfaF ,.. C`A <br /> Laboratory Work Release# <br /> Sampled by(please print) SOIL WATER <br /> Sam pier Signature Date Sampled W <br /> ~ co a <br /> Sample Collection #of $ A$ $ a$ _;� o Remarks <br /> t 6 <br /> Desenption Dato�me Matrix Prsv Cont W M W 0 oI w 'S o ¢w �& V <br /> g <br /> a <br /> 57. 4 4e'y 1 t <br /> A 16 q5 <br /> 12 D- Z,d 13Y q5 " �I 1 <br /> p� 2, 5 17,'DO <br /> -3 Vf13 ; S f7 if <br /> Ir+ ° Relinquished ray/Affthatlon Accepted by/Atflltatlon Date Time <br /> Cooler Seal S <br /> Intact 2 15, 9 <br /> ❑ Yes 6/4/ <br /> gt' <br /> ❑ No r + fr <br /> Turnaround Time <br /> (circle choice) <br /> 24 fir C> <br /> 48 hr <br /> 72 hr <br /> 96 hr -� <br /> 5 workday <br /> (standard) <br /> ipment Method Additional Comments <br /> 046- <br /> �1 <br /> Shipment Date <br /> Distribution White-Original Yellow-Exxon Pink-Lab Goldenrod-Consultant Reid Staff <br />