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CHAIN OFAUS Y RECQrD 3 8 I <br /> Nashville Division Pon -726-01 <br /> TeslAmerica <br /> 2960 Foster Creighton Toll Free 00-765-0980mop <br /> I N C 0 R i 0 A FTE 0 Nashville,TN 37204 Fax 615-726-3404 <br /> Consultant Name ETIC EIINGINEERING Report To Doug Fitzgerald iffi4 Norse- <br /> Address 2265 MORELLO AVENUE Invoice To JENNIFER SEDLACHEK(EXXON MOBIL TM) <br /> City/State/Zip PLEASANT HILL,CA 94523 Account# 10236 <br /> ExxonMobd Protect Mgr TED MOISE PO# 4504349422 <br /> Telephone Number (925)602-4710 EXT 23 Fax No (925)602-4720 Facility ID# 7-3942 <br /> Sampler Name (Print) Pp 1k(4 �/T�'L� l-�i� RRrlflKil ildc(R I��1 N Site Address 4444 N PERSHING AVENUE <br /> Sampler Signature City,State Zip STOCKTON,CA <br /> Preservative Matrix Analyze For <br /> C m fl <br /> CL a v $ w <br /> J _ N m <br /> Q1 L C a m d Ni� 2 d <br /> LL 21 <br /> E E m <br /> V <br /> rDS 0 Q N <br /> f: ro x o Q 7 V)1 (IJ O <br /> U- <br /> CL <br /> d C7 m m a �il m H Q <br /> Eo o v m �, 3 N vW LL U) <br /> d H Z (7 CJ u $ Y Z i 2 i Z 3 o in w a rm o = a (n <br /> Sample ID!Description w cn u_ <br /> V3 3 1cj 11 jt 3 X X I I 1XIX I X X1 I 1XIXI <br /> V3a Iy 3 X X X I I X X X <br /> i <br /> Special Instructions GLOBAL ID#T0607700019 EDF FILE REQUIRED a ora ory comments �7 <br /> Temperature Upon Receipt <br /> Sample Containers Intact? r N <br /> VOCs Free of Headspace? N <br /> Relinquished by Date Time Received by Date Time <br /> Relinquished by Date Time Receiv d by TestAmenca Date Time <br />