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EXXON COMPANY, U.S.A.ace* 5/6 <br /> P.O. Box 4415, Iluuston, TX 77210-4415 '�l 3/1 Z <br /> P!L�L-caaPaA ,lrro CIIAINOFCU5'rony <br /> rNr ASSURANCE or 11UAllt1 - 10 Novaur, CA, I1 Digital Drive, 94949 ❑ Iluntinbtort Beach, CA, 5702 8ulsa Avenue, 92649 <br /> 415 883-6100 714) 892-2565 <br /> ConSEtltant's Name: Ct-LTAIQ �rQd� �,A, ,,tL 'ev <br /> Page_L of <br /> Address: xnefl J�I'QN I k1 -`110SkfiV, <br /> L Sile Ltu anon: ,+r -Xv 4,% ,,0 /A rt <br /> Project !l: —� Consultant Project #. - f 3 — / Consultant Work Release M: a U p <br /> t. ,q <br /> Project Contact: Phone b Jr/ 9 "1D3 S Pax #63 9 4-7 Laboratory Work Release#: <br /> f <br /> EXXON Contact: ` N.; <br /> a� /Q/� EE ❑ C&M Phone 2Vv 77el Pax 11' 61 + EXXON RAS #: 33p <br /> 1 Y <br /> sampler's &nalllre:l <br /> Shipment Method: L U <br /> �f`�/ �° Air Sill #: Shipment Date: _ <br /> TAT: ❑ 24 hr ❑ 48 hr ❑ 72 hr 1,.29 Standard(5 day) ANALYSIS REQUIRE] - -: Sampk_Candition as Received <br /> =Temperature° C: <br /> Cooler dt: <br /> Inbouttkl Seal Yes No <br /> Outbound Seal Yes No <br /> Sample Descliplion Callectinn Matrix PrSV M of PACE � eco °Q <br /> Daterrme Soil(Water Cant Satnpte M <br /> rr--/ 3 COMMENTS <br /> M w 57 erw 4re'f 3 to 2.o <br /> w - 11 3 <br /> Relinquished hylAffiliation Date Time Accepted by/Affiliation DateTime dditionaI Comments: <br /> z � <br /> ° - - 'toms _.� --Rce ►c IQ �-K�a <br />