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' EXXON COMPANY U.S.A. V2- <br /> aceP O Box 4415 Houston TX 77210-4415 <br /> PN7—CoRppp0. rE [3 � CHAIN OF CUSTODY <br /> EASSURANCE OF ORALITY ��LyJ <br /> Consultant Name Arte-5 e, F�(V0"iddeJd�-f� 6145(A 4t,„1 <br />' <br /> Novato,CA Address 10D SLin� `vt� „uta_` S�;fe 2�S4�i�#-t <br /> 11 Digital Drive, 94949 Project Contact Pro ect# <br /> (415) 883-6100 Phone#� �1 3P1 – 6456 Fax# �ylS) 389- 0y_;z _ <br />' ❑ Irvine, CA Consultant Work Release# <br /> Alton Business Park II <br /> 30 Hughes St , Suite 206, 92718 Exxon Contact 7rea rip M v x a Phone# jp) zu is_ 9,7 7() <br />' (714) 380-9559 Site RAS# 0 ---�–3 0 <br /> "Ate Location ��, CA <br /> 01 <br /> 3 1 2 IA/, 13 .. tic IL_ f7 <br /> Laboratory Work Release# <br />' Sampled by(please print) SOIL WATER <br /> Sampler SEgmture Date Sampled x' x <br />' . w <br /> �cn <br /> Collection #of a y y 4 a� Remarks <br /> p Date/Time Matrix Prsv Cont w w o w w o o w s ai <br /> 7/7171 z- I 1710-5 U He, 3 r 04 Q- <br /> -3, <br /> z14 how <br /> NgoHSI qC o <br />' 3/z-70N 0 061 3 X D--1- <br /> S� <br /> 2-Cooler No Relinquished by/Affiliation Accepted by/Afflhation Date Time <br /> Cooler Seal <br /> Intact <br /> ❑ Yes <br /> ❑ No IA- <br />' Turnaround Time <br /> (circle choices i <br /> 24 hr <br /> hr <br /> 72 <br /> 72 hr <br /> 5 workday <br /> (standar <br /> Shipment Method Additional Comments <br /> 1 I i <br /> Shipment Date <br /> Distnhuhon White-Original Yellow-Exxon Pink-Lab Goldenrod-Consultant F,eia Stat! <br /> 1 <br />