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EXXON COMPANY, U.S.A. <br /> F aces -P.O.Box 4415,Houston,TX 77P10-415 <br /> I N C O R P t1 R A T E a <br /> CHAIN OF CUSTODY <br /> THE ASSURANCE OF QUALITY <br /> Consultant Name: <br /> ❑ Novato,CA Address: ' i - mil <br /> 11 Digital Drive,94949 Project Contact:_.F(a-# L 11Va+seL"__ Project <br /> (415)883-6100 Phone#:6V1 _) 391- 6 q5_(, Fax#: (u► � 3R — a41 z3 <br /> F ❑ Irvine, CA Consultant Work Release#.- <br /> Afton Business Park <br /> 30 Hughes St., Suite 206,92718 Exxon Contact: kceg De �4Q v r.a Phone#: ► -2 � <br /> (714)380-9559 site RAs#: <br /> Site Location: to ` <br /> 0 <br /> Laboratory Work Release#: 41 f_795/R9► <br /> Samy(PPrint) SOIL WATER <br /> Sampler Sign Date Sam pled 6 � <br /> }�py5 Mpg gi�gv c� <br /> //;z I s- �W J] b3 �N � .a <br /> Sample Collection #of $ �� .�� -�I ... <br /> Remarks <br /> Description Date/Tlme Matrix Prsv. Cont. a s a s "i aa a a= a s <br /> FW lLW �O FW liW �O I=W Fffl- <br /> F I'l.,517(p �-cA 3 T <br /> A 17 <br /> ao KO W- HOLD <br /> FA 62 - 0 Nam14OLIP <br /> Cooler No. Relinquished by/Affiliation Accepted by/Affiliation Date ;Time <br /> Cooler Seal <br /> Intact <br /> j ❑ Yes 4 <br /> ❑ No <br /> Turnaround Time <br /> (circle choice) <br /> 24 hr. <br /> 48 hr. <br /> 72 hr. <br /> 96 hr, <br /> C5 workdayti <br /> (standard) <br /> 4 7Shipment Method Additional Cornrnents: <br /> t <br /> ' Shipment Date <br />_ Distribution: White-Original Yellow-Exxon Pink-Lab Goldenrod-Consultant Field Staff <br />