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EXXON COMPANY, U.S.A. <br /> PO Box 4415 Houston TX 77210-4415 <br /> P. CHAtN OF CUSTODY <br /> T>tf ;SIIRAhCE or ou.1117 <br /> Consultant Name <br /> Novato, CA Address 3Lj <br /> �. <br /> 11 Digital Drive,94949 <br /> Project contact Pro ect# <br /> (415) 883-6190 <br /> Phone At QlkFax# <br /> ❑ !Nine, CA Consultant Work Release <br /> Afton Business Park <br /> 30 Hughes St , Suite 206, 92718 Exxon Contac phone# -Oy/p F/y/%0 <br /> (714) 380-9559 Site RAS# <br /> Site Locaton <br /> Laboratory Work Release# <br /> Sampled by(Please pent) SOIL WATER <br /> Sampler Qnature Date Sampled w "'K <br /> �g a V <br /> Sample Col le n #of b� ti a v <br /> t 3� ;� � �y a� Remarks <br /> Descnpbon Dat ime Matnx Prsv Cont ,a *-w o w Uf o o I¢w <br /> ACL X1 I <br /> 1uh Y? 3 <br /> d3 1 16 <br /> mwlto <br /> ' er No Relinquished by/Affiliation Accepted by/Aftillation Date Time <br /> Coder Seal <br /> Intact <br /> ❑ Yes 7 a /5L/0 N <br /> ❑ No _ \.J <br /> Turnaround Time , 1 <br /> (circle choice) 1 v <br /> 24 hr <br /> hr <br /> 72 �j <br /> 72 hr <br /> hr <br /> workda <br /> (standard) <br /> V <br /> mentAGROd Additional Comments <br /> ment Date <br /> v �i <br /> Distribution White-Onginal Yellow-Exxon Pink-Lab Goldenrod-Consultant Field Staff <br />