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EXXON COMPANY, USA. CHAIN OF CUSTODY RECORD NO Page of <br /> Exxon Engineer Dann Rouse Phone X925 ANALYSIS REQUEST OTHER <br /> 246-$768 .__ CHECK APPROPRIATE BOX <br /> Consultant Co Name DELTA Contact James Brownell a a ° <br /> o i U <br />� Address 3164 Gold Camp Drive Phone 916 638-2765 a o 0 r Q <br /> Suite 2oQ Fax _916) 638-8385 _ <br /> 4 0 ° O a a r <br /> Ranco Cordova, CA 95670 o o a J <br /> RAS# 7-0137 Faculty/State ID#(TN Only) --Q In 0 0 m a ° ° <br /> AFE#(Terminal Only) Consultant Protect# 0m `� 0 a ti <br /> V4 co <br /> Location 1605 South EI Dorado (City) Stockton (State) CAEy o ° o co LLI0 ❑ o <br /> Cl EE ❑ G& M ❑ SDT Q N z 0 co o a N `� <br /> Ln <br /> Consultant Work Release# 19908582 BTS# — z w ' <br /> 0 LUo Q it m O co ti O 0 O <br /> Sampled By Blaine Tech Services, Inc 0 Q co Q N o Q a 0 x <br /> _ co <br /> _ _ r a <br /> SAMPLE I D DATE TIME COMP GRAB MATRIX OTHER PRESERVATIVE O O � a m c7 = w z m w �Z ~ <br /> Ht0 SOIL AIR z U m a a O a O ai a a a F- <br /> Mw-- 3 o1U,3 CA <br /> -'2- ',3 <br /> /U1 v✓- s Z <br /> e <br /> 210 <br /> Mme- 1��3 <br /> TAT SPECIAL DETECTION LIMITS(Specify) REMARKS 50-7z - <br /> 24 HR 72 HR EXXON UST y3-7289 0727 <br /> 48 HR * 96 HR CONTRACT NO <br /> Standard *Contact US Prior S02317MOI SPECIAL REPORTING REQUIREMENTS(Specify) LAB USE ONLY LOT# Storage Location <br /> Other to Sending Sample Z <br /> QA/QC Level JV\ <br /> Standard Q CLP Li Other Q FAX ❑ Q FAX C-O-C W!REPORT ARK ORDER# O� B WORK RELEASE# <br /> Relinquished B Sampler Date Time Received By <br /> 1-17 <br /> CUSTODY Relinquished By Sampler Date Time Received By <br /> RECORD Relin ulshed B Sampler yLaboratory <br /> q Y P Date Time Re <br /> Way # Tem <br /> SHIP " PLIES BACK TO SPL 1�RPO�D,8880 Interchange �54�(713)660-0901 ax (713 660-� Ph 1-800-969-6775 <br /> aff i� <br />