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C1-4 <br /> EXXON COMPANY, U.S.A. <br /> P O Box 4415 Houston TX 77210-4415 <br /> pace* <br /> C0RPORATEO CHAIN OF CUSTODY <br /> HE ASSURANCE OF DUALITY <br /> Consultant NameAA��rr <br /> HVrw Sfn rw F,w ul Vmr:Uq'PiZL (S ta_c I.- 4&L& <br /> Novato, CA Address Of) K�,,,� f��� �-[ Lr S�,�t� 2 q!;- 13 _qqqql <br /> 11 Digital Drive,94949 Project Contact 11 ' :3- <br /> (415) <br /> _ Protect# �i�-aa - 03_ <br /> (415)8$3-6100 Phone# _ <br /> r s�_� ��4_S 6 Fax# 011 T') 3mq Oaf Z 3 <br /> ❑ Irvine,CA Consultant Work Release# <br /> Alton Business Park <br /> 30 Hughes St , Suite 206, 92718 Exxon Contact &,^,ter V-p- Hc"'Vo Phone# LS-10) xt/b-_677x1 <br /> (714) 380-9559 Site RAs# 7 -'-3390 <br /> T <br /> Site Location 3 ' ' <br /> Laboratory Work Release# <br /> Sampled by(please print) SOIL WATER <br /> WrAjyCAVpVt 'I; W <br /> Sampler Sig nature Date Sampled W W N '� <br /> (0/ <br /> Sample Collection #ofY R <br /> Description Date/Time Matrix Prsv Cont a s a s o W w E c irW m Remarks <br /> h W HW /y <br /> pr-)- 3,6- 17S hla f � <br /> LI l •D 11 q J o P,5, <br /> 5 <br /> f7 ` g <br /> s� z5 <br /> - S t q :00 ` ' `' �^ <br /> m <br /> i <br /> n. <br /> f? <br /> Cooler No Relinquished by/Affiliation Accepted by/Affillation Date Time M <br /> Z ) <br /> Cooler Seal <br /> intact 15 • p <br /> ❑ Yes ,"tqa--t, 6/4/(?2- <br /> SSL <br /> ❑ No <br /> S� <br /> Turnaround Time T <br /> (circle choice) <br /> 24 hr <br /> 48 hr <br /> 72 hr <br /> 96 hr <br /> 5 workday Q <br /> (standard) <br /> Shipment Method Additional Comments <br /> Shipment Date C3 <br /> Distribution White-Original Yellow-Exxon Pink-Lab Goldenrod-Consultant Field Staff <br />