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'aces EXXON COMPANY, U.S.A. <br /> I1.0. Box 4415, Houston, TX 77310-4415 <br /> P�. caaPowriTEu CHAIN OF CUSTODY <br /> 1►fr +ssun+Her OF au+i►rr rV <br /> L+ Novato, CA, l I Digital Drive, 94949 ❑ Huntington Beach, CA, 5702 Bolsa Avenue, 92649 <br /> 415 883-6100 714) 892-2565 <br /> Consultam's'Name: gji ? J1WL CK)A1S 1 ,714 la 1AIC, Page L 01• <br /> Address: t 1 �' ) i. f tr r� i Site Location: 312ff td. <br /> �•1�✓'•"1 N1:�`/f/r:e_7' T�'' <br /> I <br /> Project N: Consultant Project p: Consultant Work Release ll: <br /> Pr0•eet Contact: , Phone N: r �/ ��..,� " r' PaX .l?, —�' 'r LaboratorL Work Release ll: <br /> EXXON!Contact: t -_JZ EE. ❑ C&M Phone#/'.—/,i '7 _ 7 Pax N: -Y7 EXXON RAS N: . 3 7 <br /> Sampled by (print): Jjnj Rjh? Sampler's Si nature: <br /> Shipment Method: ,je ! a Air Bill N: 2 Shipment Date: <br /> TAT: El 24 hr El 48 hr 1:172 hr Standard(5 day) ANALYSIS REQUIRED Sample Condition as Received <br /> Temperature° C: <br /> Cooler#: <br /> oInbound Seal Yes No <br /> mas <br /> Outbound Seal Yes No <br /> v► In00 <br /> Sample Description Collection Matrix Priv ®of PACE 00 � 00 <br /> DatelTime Soil/Water Cont Sample I Q xp, COMMENTS <br /> Relinquished by/Affiliation Date Time Accepted bylAffiliation Date Time Additional Continents: <br /> q- �7 <br />