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EXX M PANY, USA. AIN OF CUSTODY RECORD NO Page of I <br /> �� V ANALYSIS REQUEST OTHER <br /> Exxon Engineer Darin Rouse Phone (925) 246-8768 CHECK APPROPRIATE BOX <br /> Consultant Co Name DELTA Contact James Brownell ❑ ❑ <br /> w <br /> Address 3164 Gold Camp Drive Phone 916 638-2765 ° n n n o n o <br /> Suite 200 Fax (916) 638-8385 ❑ ° ° W L <br /> Ranco Cordova CA 956700 a o m ❑ <br /> co <br /> RAS# 7-0137 Facility/State ID#(TN Oniy) Cr � ❑ O m o r N Q <br /> c7 0 w v <br /> AFE#(Terminal Only) Consultant Project# T M p " a 2 n n <br /> Location 1605 South El Dorado (City) Stockton (State) CA o ❑ �' ❑ p ° o <br /> C3 EE ❑ C & IM ❑ SDT < N a Q o Clo ¢ " <br /> Consultant Work Release# 19908582 BTS# DOQ z a C3a o ❑ m coo <br /> m r r <br /> OU ? o Q m U o JO S w a O 2 <br /> Sampled By Blaine Tech Services Inc LL a n w e U � a �_ E a ° ? w <br /> z X C7 12� C T 5� ?c m a F ❑ v S <br /> SAMPLE 10 GATE TIME COM? GRAB MATRIX OTHER PRESERVATNE O o a °a a O w z U w w ° w F- <br /> H2O SOIL AIR z U m d r ° F 7 vo a CL <br /> W - 4•n•oo ioso 1< M VO4 5 3 x X CA <br /> A4 W <br /> 1'Z3s� k <br /> W S� 41'47•Gtr 1S1 s X <br /> ,ofNW �v <br /> 147.0a R S S" +C 3 rC k <br /> M - 7 41n•001I's 0 1 3 X <br /> VEW.0 Z 4.17.0 )1" x 3 X <br /> TAT SPECIAL DETECTION LIMITS(Specify) REMARKS <br /> 24 HR 72 HR EXXON UST <br /> 48 HR 96 HR CONTRACT NO <br /> Standard •Contact US Prior S02317MOI SPECIAL REPORTING REQUIREMENTS(Specify) LAB USE ONLY T# Storage Location <br /> Other to Sending Sample <br /> QA/QC Level C�r� 50 <br /> Standard ❑ CLP ❑ Other C7 FAX ❑ ❑ FAX C-O-C W 1 REPORT WORK ORDER M LAB WORK RELEASE# <br /> R cs ed B S mpler ate Time Received By <br /> CUSTODY Reimgwshed By S.Pfipler Da tie Time Received By <br /> PECORDRelinquished By Sampler Date Time Re I d By Labcr ry y J/ <br /> w 1� G�2/2�/lCL cool �G <br /> SHIP SAMPLES BACK TO SPL INCORPORATED,8880 Interchange Drive Houston TX 77054 Ph (713)660 0901 Fax 171 )660 8975 Ph 1-800-969-6775 <br />