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cit <br /> EXXON COMPANY, U.S.A. <br /> ace. P O Box 4415 Hoask3n TX 77210 4415 <br /> i H c a A P o e CHAIN A t t o /� OF CUSTODY t- <br /> rMi A6iyitAKC1 0 aUAIIT■ Y� �l ' ron ►�t C•�vt5ti s�K'�'7 <br /> _ Consultant Name S � <br /> Novato,CA I I Nl�►'7 <br /> Address �7J S o i11 G w <br /> 11 Digital Dnve,94949 Pro Contac'1 4G ea S Pro <br /> (415) 883-6100 Phone 'i! 7 p �y r Fax N L S <br /> Consttttant work Release# <br /> ❑ Irvine,CA <br /> Alton Business Paris �?GMa ( Phones 111.5 <br /> 30 Hughes St .Supe 246,92718 Exxon Conlan <br /> (714)380-9559 Site RAS t+ � � <br /> S pm Lomum , Z-8 k'), •, <br /> . E 2'.1 <br /> ,n 1�" I r ` ^ <br /> 1-abora"Work Release s i <br /> M tp 3 pr�1) sOiL WATER <br /> � I D x <br /> Sa r Srgnatirrro Da Med I- <br /> g 1iln <br /> " y <br /> rot $ < gr4 Remarks <br /> Sample lection t <br /> Desenptror, DatslTrme 1Jlatrix Prsv Cont w do w � ,u w m <br /> A,Z <br /> r 5 <br /> -� �-3 <br /> ��s s <br /> g.L4 7r3d7 S �C <br /> , <br /> er o Rerrr+qulshed by/Attlllatlon Accepted by/Affiliation Date Time <br /> 4 Cooler Seal <br /> intact � <br /> Yes <br /> ❑ No <br /> Turnaround Time N <br /> (crncle choice) <br /> 72 hr <br /> 96 hr <br /> 3 5 workday <br /> (standard) <br /> snrnent Nleltsod Additional Comments oQ <br /> Shipment Date <br /> DfstnbuGon 4Vhrte-Original YaGaw Exxon <br /> Pink-tab �oldarv.d-Consultant F.ld 5taht <br />