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CHAIN OF CUSTODY RECORD <br /> Testi America 2960 Foster Creighton Toll Free 800-765-0980 E o n M o b i l <br /> '"C°R'°^^I ED Nashville,TN 37204 Fax 615-726-3404 <br /> Consultant Name ETIC EIINGINEERING Report To JOHN ORTEGA <br /> Address 2285 MORELLO AVENUE Invoice To JENNIFER SEDLACHEK(EXXON MOBIL TM) <br /> CttylState/Zip PLEASANT HILL,CA 94523 Account# 3868 <br /> ExxonMobil Project Mgr TED MOISE PO# <br /> Telephone Number (925)602 4710 EXT 23 Fax No (925)602-4720 Facility ID# 7-3942 <br /> 5ampler Name (Print) w-1n„i Site Address 4444 N PERSHING AVENUE <br /> Sampler Signature =. � City,State Zip STOCKTON CA <br /> Preservative Matrix Analyze For <br /> a N N <br /> 347437 a Cm <br /> n � w � ❑ <br /> N a O J o m U1 7 <br /> T] 61 N N �i to d m <br /> Q7 N G c S= <br /> o n <br /> E E w �' -J m u w Y u d z m m m v _ <br /> O d t5 u v u t- <br /> LO w U o 7i_ ) w O a i� m uai 3 10 w 2 Q 7 I- <br /> CL m v 3 ° ti i-- o N <br /> Ly <br /> _ I- <br /> °z U 0 0 O o o m o x m Z c4 F- ❑ X <br /> Sample ill 1 Description ❑ z U 7f x M z s" i z o 0 3 a m u, a s o D c~n ii <br /> RW1 !TKC ,tf, - ,3l ti X X X X X X <br /> XX <br /> t RW2 d) 1/1 13 5C 6 X X X X X I X I I X X <br /> RW4 UL ,t s li ti++ 6 X X X X I X I X I X X <br /> 'L Vi `'� `�� ��+ � r �� 6 X x X X X X X X <br /> V2 C i t 6 X IX 1XI I X X X X X <br /> « til V3 "� r h t. 6 X XX X X X X X <br /> V4 v( (�;} t 3 6 X X X X I X I X X X <br /> t� Swi X1 X I X X XIX XX <br /> 'ff SW2 c?� i, {r�1- ,; 6X X X X XA UVB-MWi Zf ; } i 6 X X X X X X X X <br /> Special Instructions GLOBAL ID#T0607700019 EDF FILE REQUIRED Laboratory Comments <br /> Temperature Upon Receipt <br /> Sample Containers Intacl'� Y N <br /> C6NFIRMALLMTF3E HITS BY 92608 VOCS Free of Headspace? Y N <br /> Relinquished by1�� Date Time Received by Date Time <br /> t <br /> (v,-, t ` � u J (j ,. <br /> !ll <br /> Relinquishedp f 1 Date Time Received by TestA erica Dat Time , <br /> /4 <br /> 1 24 PM <br />