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Calscience <br />Environmental <br />Laboratories, Inc. <br />7440 Lincoln Way <br />Garden Grove, CA 92841 <br />Phone: 714-895-5494 E�(onMobfl <br />Fax: 714-894-7501 <br />Consultant Name: Environmental Resolutions. Inc. Account if: NA PON: Direct Bili Cardno ERI <br />Consultant Address: 601 N McDowell Invoice To: Direct Bill Cardno ERI <br />Consultant CitylStateMfp: Petaluma, CA 54954 Report To: _Greg Gurss <br />ExxonMobll Project higr: Jennifer Sedlacbek Project Name: 02 2789 C <br />Consultant Project Mgr: GTep Gurss Exx❑nMobil Site #: 99CAS Major Project [AFE #}: <br />Consultant Telephone Number: (707) 766-2000 Fax No.: 757-789-0414 Site Address: 75 E Alpine Ave <br />Sampler Name (Print): \� 'w Site City, State, Zip: Stockton CA <br />Sampler Signature: Oversight Agency: San Joaquin County <br />{2s <br />Date lime Received by: <br />/O;po7;;� 4� <br />r� ale Time Received by (Lab pe <br />Q <br />m n <br />rEs <br />� <br />G <br />� <br />a <br />a <br />V <br />r <br />rry V] <br />ro m <br />_ <br />Sample ID 2 <br />LL <br />W-31 -MWI Mw <br />/ts ,t 131si <br />Z <br />W- z,-3 -MWZ MW2 <br />`pit u i 3,_ <br />3 <br />W- Wiz_ -MW3 news <br />/, ,r., -%1c0 <br />p <br />I <br />W- 34 -MW4 MW4 <br />'�1.�t 1T I;.r <br />W- 3 -MW5 MVV5 <br />VV- —• W <br />fp <br />W- 33 -MW7 MVV7 <br />s�'r/tt �� 50 <br />W-'34 -MVV8 MVV8 <br />VV- 3`I -DWI DWI <br />�j 4 Z <br />`a <br />-DW2 2 <br />W- 35 DW <br />S/`�/tt "• s <br />Com me nWS pec I al Instructions: <br />8280=MI5E, DIPE, TBA, TAME, ETBE, 1,2 DCA, EDB <br />GLOBAL 10 n 70607700685 <br />{2s <br />Date lime Received by: <br />/O;po7;;� 4� <br />r� ale Time Received by (Lab pe <br />o <br />� <br />� <br />a <br />r <br />F - <br />G7 <br />N <br />`a <br />C <br />D <br />4 <br />N <br />Q <br />F <br />o <br />p <br />pp <br />X <br />L) <br />LU <br />in <br />l■■®■■■nomm■■■ <br />W <br />y <br />l■■e■■ee■e®■■■■■ <br />i■■e■■■■e■®®■■■i <br />i ■■■■■e■■ <br />©■■■■m <br />{2s <br />Date lime Received by: <br />/O;po7;;� 4� <br />r� ale Time Received by (Lab pe <br />Temperature Upon Receipt: <br />PLEASE E-MAIL ALL PDF FILES TO Sample Containers Intact? Y N <br />;om ngrcallaticro�en•us.rom VOCs Free of Headspace? Y N <br />ate Time QC Deliverables (elease circle one) (please circle one) W <br />7 _ Level 2 v <br />Level 3 0 <br />Date Time Level4 _h <br />_ _01 <br />Site Specific - if yes, please attach pre -schedule w/ Calscience <br />Protect Manager or attach specific instructions <br />o <br />� <br />� <br />a <br />r <br />F - <br />G7 <br />N <br />`a <br />C <br />D <br />4 <br />N <br />Q <br />F <br />o <br />p <br />pp <br />X <br />L) <br />LU <br />in <br />W <br />y <br />Temperature Upon Receipt: <br />PLEASE E-MAIL ALL PDF FILES TO Sample Containers Intact? Y N <br />;om ngrcallaticro�en•us.rom VOCs Free of Headspace? Y N <br />ate Time QC Deliverables (elease circle one) (please circle one) W <br />7 _ Level 2 v <br />Level 3 0 <br />Date Time Level4 _h <br />_ _01 <br />Site Specific - if yes, please attach pre -schedule w/ Calscience <br />Protect Manager or attach specific instructions <br />