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EXXON COMPANY, U.S.A <br /> P O Box 4415 Houston TX 77210 4415 <br /> IMC0RP0RATED � CHAIN OF CUSTODY <br /> THE FSSUNAN[1 or auai11r <br /> Consultant Name rtH^ - viol � <br />' O-Novato, CA Address -J S r i.1c <-J .5,4c 2-1 /fiffU�r�f G� <br /> 11 Digital Drive, 94949 Project Contact Jf"l TGt 1.0 S project tt (J—o_! -t) ( <br /> (415) 883-6100 Phone# (-"-( ( S ) 3$ E -(,L(Sb Fax A.(,- V1 _)3-? ) �ti�J Z3 <br /> ❑ <br /> Consultant Work Release#irvtne, CA _ O/C( <br /> Alton Business Park `� <br /> 30 Hughes St , Suite 206, 92718 Exxon Contact MCL4" G1'e s k— Phone$; Q` -IVQ,&7 7 4. <br />' (714) 380-9559 Site RAS# �— 3 3 3 J <br /> Site Location 31 Z� 417 �ti_� l� Dr <br />' Laboratory Work Release# <br /> Sampled by(please print) SOIL WATER <br /> Y /✓ .S�-1.-c�iS o <br />' Sa ler ignature �D tZe (� <br /> mm S p1� - <br /> w <br /> v�eG <br /> 4� <br /> Sample CoMbijon #of m m _ 0 Remarks <br /> Doscnption Date/Time Matrix Prsv Cont a3 a 0. m� a a a -= a s o <br /> F-w I.-ow- Oo Htu H-w 66 rw rrn 11 <br /> 7" <br /> Ing L) -ice 6 �7 rr. � ►t�,, � � � �_ t,, <br /> Ifs <br /> 1 � <br /> ,j6 <br />' Ler No Relinquished by/Affillation Accepted by/Affiliation Date i irne t <br /> Cooler Seal <br /> ,r ( Intact C�� <br /> 1j C� <br /> Yes <br /> ✓r1 to ✓Arhr. � <br /> o No <br />' Turnaround Time <br /> (circle choice} <br /> 24 hr <br />' 48 hr <br /> 72 hr <br /> 961x1~ <br /> work `' <br /> s -rd) <br /> S".prnent Method Additional Comments <br /> 1 z:)h amens Date <br /> Dis'r butlOn White Original Yellow Exxon Pink Lab Goldenrod Consultant Fiero Staff <br />