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E, COMPANY, USA. 000C�C)5� CHAIN OF CUSTODY RECORD NO Fuge ANALYSIS REQUEST OTHER <br /> Exxon Engineer Darin Rouse Phone 925 246 8768 (CHECK APPROPRIATE BOX) <br /> Consultant Co Name ETIC Contact John Orte a 7 <br /> Address 144 Mayhew Way Phone 925 977-7914 <br /> Walnut Creek, CA 94596 Fax (925) 977 7915 <br /> „ W o < z <br /> RAS# 7-3708 Facility/State ID # (TN Only) > 3 -7 -z <br /> AFE # (Terminal Only) Consultant Project # n ng 1-7 Z c p �_ ° n <br /> Location 2705 Country Club (city) Stockton (State) CA < W <br /> EE ElC 8 M ❑ SDT e N ! o W p a <br /> Consultant Work Release # 19909828 BTS# < �5 M <br /> o <br /> Sampled By Blame Tech Services, Inc ° ? pin <br /> N z o <br /> C zo J v _ L n ¢ v - O 1 w I <br /> MATRIX x c 5 — a a r<- o `x ~ <br /> SAMPLE f Q DATE TIME COMP GRAB 0 $01E AIR OTHER PRrSERVATIVE O C�' = _ ` v W C W Q <br /> t 0 a r Cr cr <br /> 0 <br /> L �{ <br /> Aot <br /> _5 0 <br /> < <br /> TAT SPECIAL DETECTION LIMITS(Specily) REMARKS �K -��_ .��� r /� /✓_ <br /> 24 HR 72 HR EXXON UST /+^ <br /> 49 HR 96 HR CONTRACT NO L �'S <br /> Standard X Contact US Prior S02317M01 SPECIAL REPORTING REQUIREMENTS (Specify) LAB USE ONLY LOT# S orage Location <br /> Other to Sending Sample �L7 <br /> QA/QC Level <br /> Standard)lf CLP El Other❑ FAX ❑ ,o, FAX C 0 C W;REPORT AORK ORDER#DLAB WORK RELEASE # <br /> Relinquished By Sampler ate Time I Received By <br /> 00 cc <br /> CUSTODY Relin ed By Sampler ato Tina Received By <br /> RECORD <br /> Relinquished By Sampter Date Tine ry B Labo ry S <br /> Coole Turn <br /> SHIP SAMPLES BACK TO SPL INCORPOR�,TED 8880 interchange Dritie HaLs+cn `X 77054 Ph ' 3 09", Fax 17'3) 660 E,'5 a 1 6C� :,mss 67 5 <br />