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w �� s■■� ■nw■ �� �R �� � t� t� tl• � tl• � tl♦ � � <br /> CHAIN OF CUSTJ&Y RECORD <br /> TeM�merica Nashville Division Phon -726-0177 <br /> 2960 Foster Creighton Toll Free'-IMO-765-0980 ��6- <br /> I M C 0 A P O R A f E 0 Nashville,TN 37204 Fax 615-726-3404 <br /> 421335 ^-isultant Name ETIC ENGINEERING ReportTo Doug Fitzgerald <br /> Address 2285 MORELLO AVENUE Invoice To JENNIFER SEDLACHEK (XOM PM) <br /> --_- ___ Clty/State/Zip PLEASANT HILL,CA 94523 Account# 10236 <br /> ExxonMobil Project Mgr TED MOISE PO# 4505799824 <br /> Telephone Number 925 602-4710 EXT 23 Fax No 925 602-4720 Facility 1D# 7-3708 <br /> Sampler Name (Print) G i f/ r i,/ Site Address 2705 COUNTRY CLUB BLVD <br /> Sampler Signature City,State Zip STOCKTON, CA <br /> Preservative Matrix Analyze For <br /> °' m O <br /> .G C4 O N <br /> yr pN W (1 <br /> U} (D O g7 N LIQ <br /> CD d n y d a _ 9CL <br /> n �. <br /> Q79 N � � � � � x a � r3 <br /> 0 E 61 Cn <br /> co <br /> 0 vl fn t m j — t {— D <br /> Sam le ID 1 Description o � Z 0 U L z z z x" = z a 3 ❑` n S = <br /> MW1 �7 I��`� 6 X X X X X 9 �� X X <br /> MW4 10'w 6 X X I I Ix I I X X I link IX X <br /> MW5 q5 6 X X X I X X 19 1 X X <br /> MW6 6 X X I X I X X 1qq1d X X <br /> MW7 6 1 X X I X X I X y9 2 1 1 X X <br /> MW8 1 101f6 6 X Ix I X X X 1q9 w I X X <br /> MW9 6 X I X I X X X q7 X X <br /> MW10 6 X X X X X �T e X X <br /> VEW1 L I1S 6 X X X X X wl XX <br /> VEW3 1 `� 6 X X X X X <br /> Special Instructions GLOBAL ID#T0607700522 EDF FILE REQUIRED ra-66ratorl commen s <br /> Temperature Upon Receipt <br /> Sample Containers Intact? N <br /> G%ProleC1sV3708%Pvbli60M Pre Field FoldeA(3708 COC*13708 3rd QUARTER VOCs Free of Headspace? N <br /> R/i ' he bDate Time Received by Date Time <br /> elm lshed by Date Time Received by T Date Time <br /> �J0 ?So <br /> PAGE 1 of 1 <br />