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EXX COMPANY, USA. 0 U CHAIN OF CUSTODY RECORD NO Page of <br /> ANALYSIS REQUEST <br /> Exxon Engineer Darin Rouse Phone 925 246.8768 (CHECK LYSIS REQUEST <br /> PRIATE BOX} OTHER <br /> Consultant Co Name Delta Environmental Contact Jim Brownell <br /> 7 m ° q J n <br /> Address 3164 Gold Camp Dr Phone 916 638-2765 ❑ o w + <br /> � z U J <br /> Suite 200 Fax <br /> 916 538-8385 N Cl° ❑ ° ° m m <br /> o <br /> w O o d <br /> Rancho Cordova, CA a ti <br /> o p oNo J w <br /> RAS# 7-370$ Facility/State ID#(TN Only) ❑ q > � z �, ❑ ° J <br /> AFE# (Terminal Only) 00 Consultant Project# m 0 ° o a o w t <br /> Location2705 Count Club (City) Stockton (State) CA � a ❑ ° N w N <br /> w <br /> U CI m ° Cr <br /> � }� <br /> ❑ EE ❑ C & M ❑ SDT ? N ¢ � ° ° o O ❑ 00 <br /> Consultant Work Release# 19909828 BTS# ,Q Z z C ❑ _ ❑ a a N <br /> z o <br /> Sampled By Blaine Tech Services, Inc o z N m °' N ❑ o ? ° o <br /> o U v O T W J O x <br /> ¢ W Q C7 N � ¢ d i- O <br /> LU <br /> SAMPLE!D DATE TIME COMP GRAB MATRIX OTHER PRESERVATIVE O O F j .e LL <br /> HiQ SOIL AIR z U m a O F > a Q <br /> MU r .� }o (5. -11 -Hc-L- 40 <br /> CA <br /> '"AU 10 13a4 XIr <br /> 1440 4 k <br /> y <br /> 13:5 4 <br /> tl . o a Ila 1y:55 <br /> JC) o <br /> TAT SPECIAL DETECTION LIMITS(Specify) REMARKS n <br /> 24 HR 72 HR EXXQN UST r <br /> 48 HR * 96 HR CONTRACT NO $ $( I Z <br /> Standard X *Contact US Prior 502317M01 SPECIAL REPORTING REQUIREMENTS(Specify) LAB USE ONLY LOT# Storage Location <br /> i <br /> Other to Sending Sample <br /> 0A1QC Level <br /> Standard ❑ CLP ❑ Other❑ FAX ❑ ❑ FAX C-O-C W 1 REPORT WORK ORDER# 1RO LAB WORK RELEASE# <br /> Relinquished By S pler Date Time Received By <br /> CUSTODY elinquished By Sampler Date Time Received By <br /> RECORD Relinquished By Sampler i <br /> Date Time Re e o tory <br /> VV 40 R 44ze r Temp <br /> SHIP SAMPLES BACK TO SPL INCORPORATED 8880 Interchange Drive Houston TX 7'054 Ph (713)660-0901 Fax (713)660-8975 h 1-800-969-6775 <br />