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v� 01 <br /> EXXON COMPANY, U.S.A. <br /> a <br /> PO Box 4415 Houston TX 77210-4d 15 <br /> P, N c o a r o n . r t n CHAIN OF CUSTODY <br /> leE .SSUNAxCF D, DU.�eer <br /> Consultant Name &LIs✓f►Wn 45r1 v t r-4-)n7 <br /> Novato,CA Address " 5 N <br /> 1 Digital Drive 94949 Prolect Contact J,.t-- Pro eCt i► — (.� <br /> (415)883-6100 Phone 0 Fax / —C <br /> ❑ Irvine,CA <br /> Consultant Work Release 0 <br /> Alton Business Park <br /> 30 Hughes St ,Suite 206,92718 Exxon Contact v Phone 1r 1 Z <br /> (714)380-9559 Site RAS r j 7-:F G <br /> Site Location c <br /> Laboratory Work Release s# '111 <br /> 51111111111111 <br /> by(P1ea"9nt) hl SOIL WATER <br /> li Ine-5 fJt xx <br /> rSnature ate Sampled ! <br /> 1 r� d <br /> Sample Collection t of $ , 9 x Remarks <br /> Description Date/Tirrie Matrix Prsv Cont. I�W jp W I�W b o �a �H <br /> x �f ; <br /> ., <br /> „ 1E <br /> 3c x <br /> -/ <br /> t, ., <br /> IL <br /> , y x <br /> Cooler No Relinquished by/Afllhation Accepted by/Atiillation Date Time <br /> Cooler Seal _ I 07 <br /> Intact t`p ,r f► urs I ! 5O r` <br /> ! Yes �l <br /> © No <br /> Turnaround Time iJ <br /> (thele choice) <br /> 3 <br /> 48 fir <br /> 72 hr <br /> 06 hr <br /> 5 workday <br /> (standard) <br /> Shipment Method Additional Comments <br /> Shipment Date <br /> "" Distribution White Original Yellow-Exxon Pink Lab Goldenrod Consultant Field Statt <br />