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sx <br /> EXXON COMPANY, U.S.A <br /> • <br /> Pace <br /> P 0 Box 4415 Houston TX 77210 4415 <br /> C O R P 11 R � T t fl <br /> ® CHAIN OF CUSTODY <br /> !nF ■SSUxa K[t 0+ CPU., +r t ! <br /> Con ultant Name 1` S/r/� c o U!.`bP?f►t �—C?r+S <br /> 91 Novato,CA Address ✓ 7,�1 G G: <br /> 11 Digital Drive,94949 Proiect Contact1Yl ,T u'45 Pro ect+t Q/4- 01 :d <br /> d <br /> (415) 883-6100 Phone r 411-5 �j ( 5 Fax# <br /> Irvine CA <br /> Consultant work Release K <br /> ❑ <br /> Allon Business Park �' � � Phe„B a � 5 -z��"�S7 s, <br /> 30 Hughes St Suite 206 92718 Ex con Contact <br /> (714)380-9559 S,te RAS i <br /> ale Location �. f Cn f'�n rt �� .�L /i <br /> s` Laboratory work Release r <br /> Sam by(Pte OW <br /> pant)`J a 5 SCHL WATER <br /> mpler Signature Da sampled W � 3 `� <br /> Sam Collection Remarks <br /> Descnp on Datefftme Matrix Prsv Cont P W c �f <br /> L 700 S Src-c- <br /> G1` S <br /> 6� <br /> Fk+ <br /> m6 <br /> a er o Relinquished by/Affiliation Accepted bylAiitliation Date Time <br /> Cooler Seal <br /> Intact r7r � 1 f <br /> P9 Yes �) <br /> © No — <br /> Turnaround Time <br /> (circle choice) <br /> 72 i it My <br /> V <br /> 46 hr O <br /> 5 workday <br /> (standaad) <br /> Snipment Method Additional Comments <br /> � h�e r �L i P�rxi- ,t.i �1� on 3 <br /> Shipment Date G �• STLG Pb On 4TA-rPeraoD <br /> Yellow Exxon Plnic Lab Goldenrod-Consultant Freld 5talf e <br /> Dlsentwtion white Angina <br />