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EXXON COMPANY, U.S.A. <br /> P 0 Sox 44 IS Houston Tx 77210 4415 <br /> p" CHAIN OF CUSTODY <br /> H� sSSVe�rrtr a� aU��,ei <br /> ' Gpnsllltant Name I�` �•liF� E li-n r..r <br /> f' Novato,CA Address Sh ll G --Lb-- Zq� 5? <br /> t 11 Dgtlal Dnve 94949 Praha Cont-a-�ct -A_PIO5 ►`�L4^ 7 Pro ect tt !/ �✓ -fl <br /> (415)883 6100 Phone it FI <br /> ❑ lrylne,CA Consultant Work Release v <br /> Alton Business Park <br /> 30 Hughes St , Suite 206 92718 Exxon Contact t!3*e ����� Phone a 411 �- Z-1 6 - 726 <br /> (714)380-9559 Site RAS* -? --14 <br /> Site location -3 r Z y Lae-'I-t ?'Crj ,,-Vv l+ l Ie <br /> laboratory Work Release 4 <br /> u 5a by{please pnnl `o S 5011 WATER <br /> �5 41 t� <br /> Sam Signature flare +jam ({Jp�/ $$8 x <br /> mple C II Cbon #1 of !$ $ S: �'�! <br /> $ Remarks <br /> escrlpbon <br /> Date/Time AAatn% PrSV Goat J-- <br /> E'7"- jj { <br /> S Y <br /> l <br /> 3 7 <br /> s <br /> F' <br /> :ro <br /> r` <br /> w� <br /> ower No Retfnqutshed by/Milfatlon Accepted bytAfitliatlon Date Time <br /> Coafer Seal <br /> intact /, <br /> a7`5) <br /> $� ales <br /> ❑ No <br /> Turnaround Time <br /> (cuGochoice) <br /> w' 4 hr LJ <br /> 72 hr <br /> 96 hr <br /> S workday <br /> (standard) r <br /> Shipment Method Additional Comments �1 <br /> G� <br /> Shirrler-bate <br /> D1al ibubon White Original Yellow Exxon Pink lab Goldenrod Consultant Field Stair <br /> i �- <br />