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I <br /> ANY U.S.A. <br /> EXXON COW �a <br /> I' (1 Ili)), 4415, Houston, 7 X 77210-4415 <br /> PdCe'6 <br /> C ll A P [i N A i E tk <br /> CHAIN OF CUS rODY <br /> Int W S S U R A N N Of Q U A L Ii 1 ® Novato, CA, I I D1811al DriVC, 1719. 9 Ifuntnig'ton Bead1, CA, 5702 Bolsa Avenue, 92649 <br /> (415) 883-6100 714) 892-2565 <br /> Consultant's Name �)F tl!2 z?y;g Page�_ 01 <br /> t705' COUAJ we ALVA <br /> Addrtiss 3334) DA T;4 )W• SU/7-4— /dAA1C,f/r7 COQ ✓R CA, S!7 Site Loi.dtlon G <br /> Project # Consultant Pro ou p —91309 Consultant Work Release# 69 3 <br /> Pro cct Contact -rbPb &ALAT77 <br /> n Pltanc 11 Pax R4M-939s- Labormory Work Release N <br /> EXXON Contact I�RLA (atJEA1S E.�-lL� EE ❑ C&h1 Phone q Vo .i-� Fax#2`1f1p—$ EXXON RAS N 3 <br /> Sampled by ( nnt) J%PAP Wt LL i*di 54A 77414 Sam l" s Signature u114,u+#j &e.4 <br /> Shl lme.nl Method Air Bill p Sbi mens Date <br /> ANALYSIS REQUIRED Samph. Condition as Received <br /> 7 AT ❑ 24 lir ❑ 48 hr ❑ 72 hr ® Standard (5 day) Temperature' C <br /> Cooh_r# <br /> o inbound Seal Yes No <br /> pa Outbound Seal Yes No <br /> u `n 00 <br /> Sample Description Collection matrix i'rsv i of PACE d 00 0 <br /> 00 400 v <br /> Date!'lime SoillWelu Cant Simple k Q = < Q COMMENTS <br /> /G;Oo1) <br /> m uj-Z 1344161 1A) <br /> K <br /> tA1-3 ! :20 lac L 5 <br /> AAW- :z e L 3. ' <br /> :3 L LqLtj d <br /> Relinquished by/Affiliation Date Tune Accepted by/Affiliation Date Time Additional Comments <br /> jI -, <br /> /I 3 '3S J �- /_A U!� a <br /> l <br /> aceC I <br /> r i, r , , <br />