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in� � '�� CHAIN OF CUSTODY RECORD NO page7�j -___of <br /> ANALYSIS REQUEST OWER <br /> Exxon Engineer Darin Rouse Phone (925)246-8768 CHECK APPROPRIATE BOX <br /> Consultant Co Name DELTA Contact _James Brownell Q � <br /> Address 3164 Gold Carrs Drive Prone (916) 638-2765 ° ° x a <br /> Suite 200 Fax (916) 638-8385 <br /> Ranco Cordova, CA 95670 <br /> LO z co <br /> RAS# 7-0137 _Facility/State ID#(TN Only) --(� w 00a ca d <br /> 0 0 ►— N <br /> AFE#(Ternunal Only) Consultant Protect# m °U M <br /> L- ° `o O° vwi L7 Cn <br /> Location 1605 South EI Dorado (City) Stockton (State) CA Cn a o ° a V ° <br /> w a <br /> ❑ EE ❑ C &M ❑ SDT a N M a o a <br /> Consultant Work Release# 19908582 l3T5# ^' o w a ❑ m a ° a <br /> Sampled B Blame Tedi Services, Inc " z m a w d <br /> A Y — o t4- CO 0 a ° ¢ ° ' w <br /> MATRIX z LU c -d 2 -a � rn o� ti'u X U <br /> SAMPLE I D DATE TIME COMP GRAB N,0 SOIL AIR OTHER PRESERVATIVE z Q m ate. r4 o a O Uj z 4 ` u~i <br /> LAW— I CA <br /> /vt 4V 7 a T <br /> /„l i <br /> TAT SPECIAL DETECTION LIMITS(Spacify) REMARKS <br /> 24 HR 72 HR EXXON LIST <br /> 48 HR 96 HR CONTRACT NO <br /> Standard ~Contact US Prior S02317MOI SPECIAL REPORTING REQUIREMENTS(Specify) LAB USE 014LY LOT# Storage Location <br /> Other to Sending Sample <br /> OWQC Level <br /> Standard ❑ CI,P 0 Other Q FAX ❑ I] FAX C-O-C W!DEPORT WORK ORDER# LAB WORK RELEASE# <br /> Relinquished ampler + (W �a 7 tate Time Received By <br /> CUSTODY <br /> Relinquished By Sampler Date Time Received By <br /> RECIORD Relinquished By Sampler Data Time Received By Laboratory <br /> Way Bili# Cooler Temp <br /> SHIP SAMPLES BACK TO SPL INCORPORATED 888D Interchange Drive Houston TX 77054 Ph (713)660-0901 Fax (713)66D-8975 Ph 1-900-PBP-R77%; <br />