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EXXON CowANY, U.S.A. <br /> 1'U Box 4415, HOuiton, 1 X 77210-4415 <br /> 1 N L O g P O R A i E 11 <br /> '° CHAIN OF CUSTODY <br /> t x t A S S U A A M L I O f o U A t T, PNovato, CA, 1 I Digital Drive, 949 39 l9urttirigum IiLAL111, CA, 5702 Bolsa Avenue, 92649 <br /> 415 883-6100 714) 892-2565 <br /> Consultant's Name PaL �T! <br /> 3L <br /> Site aon <br /> Address P <br /> If I <br /> Pru tet N Cowillatit Pro cit a 3 2 Consultant Work Release a <br /> Project Cont,ict ��++�� I Phone N Fax N Ldhoratur Work Reledsc 11 <br /> EXXON Contact C5!!G� le- EE ❑ C&M Phone a x I{ EXXON RAS 1{ 2� <br /> Spun led b (print) p Sdm lcr's SIn�utre <br /> Shipment M4,I10d 1 � Air Hili !t Lshipment Date 0 <br /> ANALYSIS REQUIRED Samlph, Condition ds RLCLIVLd <br /> TAI ❑ 24 hr ❑ 48 hr ❑ 72 lir Wakridard (5 day) Ttimperaturc° C <br /> Coolt.r H <br /> Foo Inliound Sed Y4.s No <br /> CQ _ Outhound Seal Yes No <br /> v 00 <br /> — <br /> Sample I)e,;cnptton Collection Matrix Prsv p of PACL U 00 q 00 a <br /> Date/Time Soil/Water Cont Sample � Q Q ct, @ COMMENTS <br /> Q 0. <br /> F w 1- W FF- W <br /> Oo- <br /> ted <br /> Date Time Accc bylAffihatton Date Tlmt Additional CumMLIIIS <br /> eltnguish by/Affiliation P <br /> Distribution Whtic-Ongmal Yellow- Exxon Pink-Lab Goldenrod-Consultant Field Skill' <br />