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cKave9�e M <br /> P 0 Box 4415, Ho t, TX 77210-4415 <br /> P <br /> caRPOAATF0 CHAIN OF CUSTODY <br /> THE ASSURAICE OF OUALIT r Novato, CA, 11 Digital Drive, 94949 ❑ Huntington Beach, CA, 5702 Bolsa Avenue, 92649 <br /> 415 883-6100 714 892-2565 <br /> i <br /> Consultant's Name Pae of <br /> 12, <br /> Address /J .G ni, Site Location <br /> Project# Consultant Project # �� >0 � ' Consultant Work Release# Q 734e <br /> Project Contact �J 1�. , Phone# f/40 Fax# Laboratog Work Release# q Cf)-C' 75(z C) <br /> EXXON Contact IFl�t.+� G UErf tXP—❑ EE ❑ C&M Phone# Fax # EXXON RAS # 7 <br /> Sampled b not -CJhoaleDCC ler's Signature <br /> Shipment Method Air Bill # -Shipment Date <br /> TAT El 24 hr ❑ 48 hr ❑ 72 hr ❑ Standard (5 day) � <br /> ANALYSIS REQUIRED Sample Condition as Received f �C� <br /> Temperature° C & <br /> x Cooler#tu f�>>9 IDYL <br /> Inbound Seal Yes No <br /> Outbound Seal Yes No <br /> v_i v_i 02 00 <br /> Sample Description Collection Mainx Prav #of PACE 0 A <br /> 000 <br /> Dntsr'lime Soit/Water Cont Sample# x d d d COMMENTS <br /> W twit <br /> `LCt lex r;,a �Y�i; t) A1C l 4 5 1D, . ' <br /> 70 Blanelct, <br /> Relinquished by/Affihatton Date Time j 1Aq pied bylAfft a on R c Time Additional Comments <br /> Ctanbutton White-Original Yellow- Exxon Pink-Lab Goldenrod-Consultant Field Staff <br />