Laserfiche WebLink
• EXXON COMPANY, U.S.A. <br /> P O Sox 4415,Hous *^TX 7721 o-"t s <br /> pace <br /> t0Rrosr � tEo � CHAIN OF CUSTODY <br /> TME asfunANCI Or auAIITr <br /> COttslfltant Name <br /> ❑ Novato,CA Address <br /> 11 Dlgttal Dnve, 94949 Proe5 Contact Protl <br /> (415)883-6100 6 <br /> Phone _- L �� _Fax s -- <br /> ❑ lrvtne,CA constAtant Work Release �ioa�s'sy <br /> Afton Business Paris <br /> 30 Hughes St , Suite 206,92718 Exxon contact Phone s <br /> (714) 380-9559 sire RAs 4 — E <br /> Site Locabon <br /> Laboratory Worts Release# <br /> Sampled by(please print) sat_ WATER <br /> Sampler Sgnaturis Date Sampled <br /> SampleCoilecUon 0 of 2 $ Remarks <br /> Descnpdon DaWTIme Matnx Prsv Cont tu W 6 it" W 11 <br /> -7 ' 72dj-9_0 s 1 ! 1 o os o AeW I'VZJ36 <br /> CcKAer No Relinquished by/Affdtation Accepted by/Affiliat-ion Date Time <br /> Gaoler seal <br /> Intact i <br /> 2-66 <br /> ❑ Yes [ ~� <br /> ❑ No <br /> Turnaround Time <br /> {circle chase} ^l <br /> 24 hr }V� <br /> 48 tw <br /> 72 hr O <br /> tab hr <br /> staTxfard 90 <br /> 1 7 S„ ne Method Additional Comments: 50 s <br /> f,///x.30, <br /> Shipment bade <br /> Distribution White-Ong rW Yellow-Exxon Pink-Lab Goldenrod-Consuftant Field Staff <br />