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NY <br /> c1ce 0 EXXON COM , USA. <br /> P O Box 4415,Houston,TX 77210-415 <br /> PN. <br /> CORPEIRATEg00 CHAIN OF CUSTODY <br /> THE ASSURAACE OF OUAIITT <br /> Consultant Name E t �3�,^r ►,.,e.1 �� F ��-r <br /> Novato, CA Address f ti_3 t, f"I ej 14 <br /> I 11 Digdat Drive, 94949 Proiect Contact 75. 11.-AAA -` 15+: •� Project_0 Cl to`t '1 <br /> (415) 883-6100 Phone* `il t r -L{f u Fax x H 1 b ' gL h a L <br /> ❑ Irvine, CA Consultant Work Release* 1 AG`y �Ci C1 4 <br /> Alton Business Park <br /> 30 Hughes St , Suite 206, 92718 Sxxon Contact ") Phone x L`"t L f'7 <br /> (714) ,380-9559 Sete RAS - <br /> { <br /> Site Location �-u�. -3 C,.� 1 4 r��•..._._y - _ �'`-'�-� <br /> Laboratory Work Release M <br /> Sampled by(please print) y SOIL WATER <br /> Sam pier Signature Date Sampled m w <br /> f 1 <br /> WI <br /> Sample iiection 0 ofI� �� a� �$ �� �� a� � Remarks <br /> Description Date/Time Matrix Prsv Cont w ,a o w w v is w H L <br /> '11 7 <br /> Cooler No Rebnquished by/Affiliation Accepted by/Affiliation Date Time ` <br />' -I•Ft-fir 71) <br /> i / <br /> Gooier Seal <br /> Intact '/f Coll a <br /> ! V <br />' Yes <br /> No <br /> Turnaround rime <br />' (circle choice) <br /> 24 hr <br /> 48 hr <br /> 72 hr <br />' 96 hr <br /> workda <br /> 5 <br /> rC <br /> hiprnent Method Additional Comments <br /> J— �%-, <br /> Shipment Date <br />' L -f I j <br /> Distribution White-Original Yellow-Exxon Pink-Lab Goldenrod-Consultant Field Staff <br /> 1 <br />