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' ace EXXON COMPANY, U.S.A. <br /> P O Box 4415,Houston TX 77210-4415 <br /> INCDRP � BATEU CHAIN OF CUSTODY <br /> THE ASSURANCE OF QUALITY <br /> Consultant Name f— <br /> ovato,CA Address Q- <br /> 11 Digital Drive,94949 Pro c ContaProject# &-4y'72 ? / <br /> {415)883-6100 Phone# . -1 7 7 Fax# <br />' ❑ Irvine, CA Consultant Work release# yd�.�✓-� <br /> Alton Business Park <br /> 30 Hughes St ,Suite 206,92718 Exxon Contact /3, Phone# <br /> (714)380-9559 site RAS# 7 �. <br />` Site Location ! y` r �/� <br /> Laboratory Work Release# <br />' Sam eby(plea print) SOIL WATER <br /> c �l C � <br /> Sampler to Date Sampled w w <br /> Sa(npie Collection #of b y 5I M o Remarks <br /> Description DateTme Matrix Prsv Cont �w fL w E o �w is 9 EMT o �w 1 m <br /> LU <br /> IX 1 <br /> i � GS 1[l t►CL � l <br /> V <br /> (ZCU L 3 f lr/ Mel 3 <br />' veZ f, V-) HCk 3 <br /> Ow> 1 }tZ0 W HCd 3 <br /> k`n e- B61, ffs-�- Li <br /> T�I'p V ql c- tj <br /> Cooler No Relinquished by/Aff illation Accepted by/Affiliation Date Time <br />' Cooler Seal <br /> Intact <br /> ❑ Yes <br /> ❑ No <br /> I <br /> Turnaround Trine <br />' (circle choice) <br /> 24 hr <br /> 48 hr <br />' 72 hr <br /> workday <br /> (standard <br /> Shipment Method Additional Comments <br /> Shipment Date <br /> Distnbu4on White-Original Yellow-Exxon Pink-Lab Goldenrod+Consultant Field Ssaft <br />