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EXXON COMPANY, U.S.A. <br /> ®ace .O.Box 4415,Houston,TX 77210-4415 <br /> LP <br /> t o F: ? o e A T E o CHAIN OF CUSTODY j <br /> THE ASSu RANCE OF OVAtITY <br /> r <br /> ` Consultant Name: A ` <br /> ® Novato, CA Address: " t + t <br /> 11 Digital Drive,94949 Pro,-ea Contact: Pro act#: <br /> (415)883-6100 i <br /> Phone <br /> ❑ <br /> Irvine, CA Consultant Work Release <br /> Afton Business Park <br /> 30 Hughes St., Suite 206,92718 Exxon contact: #: <br /> F (714)380-9559 Site RAS#: <br /> site Location: 1/� rt o j7u,t <br /> Laboratory Work Release#: <br /> Sampled by(please print) <br /> SOIL WATER <br /> a <br /> Sampler Si tura Date Sampled w <br /> isP <br /> m le Collection a b < Remarks, <br /> j! <br /> Description Date/Time Matrix Prsv- Cont, a a m= a a a al °°_ a <br /> o0 H W H W 00 M W13 AO ?10 <br /> }-{q <br /> ! 3 <br /> 12-26-41 4177. 0 <br /> 11 20 <br /> .. <br /> ooler o. Relinquished by/Affiliation Accepted by/Affiliation Date Time <br /> Cooler Seal <br /> Intact r <br /> El Yes f �Ltii t�C _ _ --- <br /> ❑ No L 2 -It5 2 <br /> Turnaround Time ` <br /> (circle choice) <br /> 24 hr. r r� <br /> hr. <br /> 72 V <br /> 72 hr. <br /> 96 <br /> kd , s <br /> 5 workday <br /> r (standard) <br /> Shipment Method <br /> Additional <br /> r Comtments- <br /> ,P!L L f <br /> �Sr-_ � 7 , <br /> ! Shipment Date <br /> I <br /> Distribution: White Original Yellow-Exxon Pink-Lab Goldenrod-Consultant Field Staff <br /> I <br /> 1 <br /> Y <br />