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7- of ,2- <br /> EXXON COMPANY, U.S.A. <br /> PO Box 4415,Houston TX 77210-4415 <br /> opcice, <br /> CCHAIN OF CUSTODY <br /> THE ASSUR Atic[ Of OUAEITV <br /> _ Consultant Name /t �i�q�i„ Gtr/r!!9� <br />' ❑ Novato,CA Address V H i?'-'- <br /> 11 <br /> 11 Digital Drive,94949 Project Contact �T -e-v— Pro ea# <br /> (415) 883-6100 Phone# 5-10 Z - o T 7 Fax# <br />' ❑ Irvine, CA Consultant Work Release# <br /> Alton Business Park <br /> 30 Hughes St , Suite 206, 92718 Exxon Contact /3'/ �//� G - Phone# <br /> (714) 380-9559 s4te RAS# <br /> S4te Location <br /> Laboratory Work Release <br /> Sampled by(please print) <br /> SOIL WATER <br /> / 0,9 -Z- <br />' Sampler tur Date Sampled <br /> N Y <br /> 7 '�� m �B mS — 078 cs <br /> fq?% <br /> SaffiplCollection #ofS 8 a o <br /> �43y �' R Remarks <br /> Description Date/Time Matrix PrsV Cont a s a �= ria a s ¢a oMl <br />' r w +-w On rw �w Oo rw rfn <br /> z� -zrrfz ,Ya u/ �� 33S Z <br /> u/ Gv � [x f►1 �vr �a.,i n#c <br /> f-0-- <br /> 2- <br /> ooler No Relinquished by/Affiliation Accepted by/Affiliation Date Time <br /> 14} I <br /> Cooler Seal <br /> Intact <br />' ❑ Yes <br /> I <br /> ❑ No �je, 'tL <br /> 3Z10h <br /> 4 <br /> Turnaround Time � <br /> (circle choice) <br /> 24 hr <br /> 48 hr <br />' 72 hr <br /> 9 k E <br /> 5 workday J <br /> (standard) <br /> Shipment Method Additional Comments <br /> l I,�� I cr� ;�� (+�zt-x Ian , K� r� C t r}t C A [ 3 E <br />' Shipment Date �� t <br />' Distribution White Original Yellow Exxon Pink Lab Goldenrod Consultant Field StaHi <br />