Laserfiche WebLink
EXXON COMPANY, U.S A 2 ,104 <br /> P o Box 4415 Houston TX 77210 4415 <br /> -. fNCpRPORA1fD °` CHAIN OF CUSTODY <br /> • r„i .ssux.y[[ or aUA&II, 11 rbe,en; + �...�------ <br /> Consultant Name Arte- 4s✓� <br /> NOvatO GA Address X 0 o w S 7- S19 1�� <br /> 11 Digital Drive,94949 Protect Conlan c.a b i Pro ct a <br /> (418)883 6100 Phone a q 1 5 3s(j� 5 b Fax a Is- 31 7 <br /> ❑ Irvine,CA Consultant Work%lease r 9 1 1 Z053-7 <br /> Alton Business Park <br /> 30 Hughes St Suite 206 92718 Exxon Contact +r/�o�r Phone sx S O r 7-Y 6^ 7-7 <br /> (714)380-9559 Sde RAS 8 - 3 1( <br /> Site Location -31 2,f %52r,,16 1 f pr f C'A <br /> _ Laboratory Work Release <br /> Sampled by(please pant) SOIL WATER <br /> h <br /> Date Sampled <br /> W W <br /> Sampler Signature r <br /> y m <br /> ►o - f$-u� <br /> la r <br /> Remarks afkS <br /> Sample CollecLon Gant s s <br /> ie Mtnx AOescnpton Datell w <br /> 7-7 7CQ <br /> Ur. `j <br /> d��cw P c Gc� <br /> , a <br /> t sa <br /> o er a Relinquished by/Affiliation Accepted by/Atfltiation Date Time <br /> Cool tan al C Z <br /> �y /o/(,� y 9 <br /> { Yes <br /> ❑ No <br /> Turnaround T+me C <br /> (circle choice) <br /> Sd 24 hr <br /> 48 hr <br /> 72 hr ( t� <br /> Shipment Method Additional CommenlS <br /> Shipment baLL- <br /> OLSIFIbution <br /> White original Yellow Exxor Pink t ab Goldenrod Consultant Field Stat! <br /> r <br /> �.A <br />