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M <br /> 0 <br /> CHAIN OF AUS rODY RECORD <br /> TestAmerica <br /> Nashville Division P one 615-726-0177 <br /> 2960 Foster Creighton Toll Free 800-765-0980 E onMobd <br /> 1 N C O A P C N,i E D 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 /> CityfStatelZip 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 /> Sampler flame (Print) \Ae (r,4,J +t<< �� t%t' Site Address 4444N PERSHING AVENUE <br /> Sampler Signature int Joh"' M City,State Zip STOCKTON,CA <br /> Preservative Matrix Analyze For <br /> � m � <br /> m 5 <br /> � � � N <br /> 347487 UN <br /> M L C <br /> Q Q V -- <br /> m <br /> E E <br /> U) Cr <br /> QH N <br /> o O Q Y <br /> O o = i ' " L <br /> Sample ID 1 Description z U LL F a F Z uo e°c1 LL <br /> r , <br /> UVB-MW2 f l fG (,�i } +'l 1 6 X IX I I I X I I I I X I X X I I X X <br /> Special Instructions GLOBAL ID#T0607700019 EDF FILE REQUIRED a ora ory ammen s <br /> Temperature Upon Receipt <br /> Sample C011laMefS Intact? Y N <br /> VOCs Free of 1leadspace? Y N <br /> Relinquished by 1,, .t I WOE,,t,„,- Date Time Received by Date Time <br /> � f <br /> Reiingwshed by Date Time Received by TeSlArpenca Date Time <br /> $ 443 3- Gly <br />