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M M = Ir M = = = = = - <br /> IEEL— _'USA. <br /> EXXO U <br /> OMPANY, . CI AIN OF CUSTODY RECORD NO Page � Of <br /> Exxon Engineer - ANALYSIS REQUEST <br /> g Darin Rouse Phone (925) 246-8768 (CHECK APPROPRIATE BOX) OTHER <br /> Consultant Ca Name Della Environmental Contact Jim Brownell � 7_1 <br /> N <br /> Address 3164 Gold Camp Dr Phone (916) 638 2765 <br /> Suite 200 Fax _ I , 71 <br /> n n a N <br /> (916) 636 838 <br /> Rancho Cordova CA s } U a <br /> F- <br /> RAS# 7-3708 FacllitylState ID # {TN Only) ll a o a n J n a <br /> AFE# (Terminal Only) Consultant Project # Cn ' o w p G <br /> a t r ] t <br /> Location 2705 Country Club (City) Stockton (State) � � � ; <br /> � � tV <br /> {state] � .: � r- s � � � <br /> ElEE ❑ C & M ❑ SDT Lilz N ?y a 7 ElID < Q 4- <br /> Consultant Work Release# 19909828 BTS#Q(:)ioa} Q 2 Z Q n g o o a N <br /> a - s m n 4 <br /> - M o c a ❑ <br /> Sampled By Blaine Tech services Inc t N v v n <br /> MATRIX ~ x a m a w <br /> SAMPLE I D DATE TIME CORP GRAB OU PRESERVATIVE z F a O a s w Qd t� <br /> ii,o SOIL AIR J <br /> CA <br /> I Ll 40 <br /> td - <br /> j`'11� — c�- 1 a �3•s� -- � 4 <br /> Se <br /> wq <br /> — <br />___ <br /> I — <br /> T4T SPECIAL DETECTION t IMITS Specify) REMARKS <br /> '1 I IR -- 72 HR_ EXXON UST <br /> iii I Iii 96 1I CONrRAC,T NO <br /> ,i .i. i,nl ` ^ Contact US Prior 502 17hA01 SPECIAL REPORTING REJUIREMFNTS)Specify) LAB USE ONLY LOT # Storage Locabon <br /> i1k + to Sending Sample <br /> QA1QC Levei <br /> A . I ad Ll (,L P L] Other Q r AX A' REPt_R I JORK ORIDER it LAB WORK RELEASE # <br /> Relinquished By Sa pier _ Dair 7 ime Received By <br /> l A I.�i. TODY elinquished By Sampler Date I Tune Received By <br /> E G 4 R D Relinquished By Sampler I <br /> Date TimReceived By Laboratory <br /> _I — VJav Bill# Cooler Terms <br /> ..l IIP SrI`APLES BACK TO SPi 1NCCRPORAT7;1) X88 i <br />