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EXXON COMPANY, U.S.A. 14 q07. <br /> s P.0. [lox 4415, 1lfntshrn, TX 772111-4415 <br /> pi ry c' o R P o n a r E n CIIAINOFCOSTODY <br /> 1Hf ASS VAAA6f OF 0UAIIrr Novato, CA, I I Digital Drive, 94949 _ ❑ Huntington Beach, CA, 5702 Bolsa Avenue, 92649 <br /> 415 883-6100 714 892-2565 <br /> Consultant's Name: L G i4 �QN�+si�n/ S r!s/ Pae -L of �— <br /> Address: r !VG ,51.1 C /DQ �A,vc4 Cord Vj. C•4 Site Location:3Q W A611. 12iti,G <br /> Pru'ecl fl: C 7 " Qq <br /> - /0 Consultant Pro'ect a: 7D- l ! t�JD <br /> Consultant Work Release 11: 300-376 <br /> Project Cnntaci:� l-e,w /Q Phone#('?1 �,3�1- C7 Fax H: ' ` Laboratory Work Relle�ase ll: <br /> EXXON Contact: <br /> /0�^f/; (J trm %/` 1pl EE ❑ C&M Phone N: 7 y�J' �� Fax N:� '$�yS' EXXON RAS /!: / `3J? Q r <br /> Sam pied b (print): R- Sampler's Signature: <br /> Shipment Method: Air Bill /1: Shi rnent Date: <br /> ANALYSIS REQUIRED Sampic Condition as Received <br /> TAT: ❑ 24 hr ❑ 48 hr ❑ 72 hr tit+ Standard(5 day) Ternperalure°C: <br /> Cooler N: <br /> oInbound Scal Yes No. <br /> oo _ ulb w d S 1 Ycs N� <br /> wo , o0 <br /> Sample Description Collection Matrix Prsv #or PACE 0 6 0 <br /> Datefrime Soil/Water Coot Sanr�lep — x COMMENT'S <br /> tp- w Eaw F- ua iy.y H <br /> 432M <br /> 3 3D.1 <br /> /��✓ <br /> -57 /,5"/g, <br /> Relinquished bylAffilialion Date Time Accepted by/Affiliation Date Time Additional Comments: <br /> A V 71 <br /> Di4ribotion: White-Original Yellow- Exxon rink- b Goldennid-Consuhant Field Staff <br /> .J <br />