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NEW <br /> CHAIN OF CUS RECORD <br /> Tesmerica Nashville Division Phone 726-0177 <br /> 29fi0 Foster Creighton Toll Free -765-098b QnMQ <br /> M°°^I°^A•E° Nashville,TN 37204 Fax 615.726-3404 <br /> Consultant Name ETIC ENGINEERING Report To Doug Fitzgerald <br /> 410538 Address 2285 MORELLO AVENUE Invoice To JENNIFER SEDi_ACHEK (XOM PM) <br /> City/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 ID# 7-3708 <br /> Sampler Name (Print) i - ti �% —�}' - Site Address 2705 COUNTRY CLUB BLVD <br /> Sampler Signature City,State zip STOCKTON, CA <br /> Preservative Matrix Analyze For <br /> V <br /> a_ � SiStt y ❑ <br /> E N 5dd <br /> w m 0 W a <br /> cv lu U y = gi v O <br /> N o CL li 3 a C7 m to �, -; a ~ Q Q m <br /> is E p O O `y ;� ' r y , Ni.-- <br /> C) `y 0C <br /> o v m z m rn Vn o $ Q ,�o 3 o x x <br /> Sample ID 1 Description ❑ z v _ x z z x z o c� 5 o w w a o Q Y) li <br /> MW1 3/z3 6 X X X X X a X X <br /> MW4 4a 6 X X X X X I loqls I I I X X <br /> MW5 6 X X X X X w I I I X X <br /> MW6 U"sv 6 1 X X X X X N X X <br /> MW7 3s 6 X X X X X 0 6 X X <br /> MW8 6 X1 X X X X X X <br /> MW9 6 1 X Ix X X X I OY If IgX <br /> X <br /> MW10 `t Za 6 X X X X X X <br /> VEW1 kn'3z 6 X X X X X 9 0 X <br /> VEW3 it 6 X X X X X X <br /> Special Instructions GLOBAL ID#T0607700522 EDF FILE REQUIRED a ora ory vmmen <br /> Temperature Upon Receipt 0 c <br /> Sample Containers Intact? (2) N <br /> G%Prajec15173708Wubh0QM Pre Field Foide 83708 COC x1s13708 3rd QUARTER VOCs Free of Headspaee? (V N <br /> Rehnqui hed by Date Time Received by Data Time <br /> i <br /> Relinquishe y Date Time Received by Tes eriw Dale Time <br /> PAGE 1 of 1 <br />