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ri � t_ <br /> EXXON CO NY, U.S.A. <br /> pb <br /> I'0 Box 4415, Houston, I Y 77210-4415CHAIN OF CUSTODY �-L ov 9 � 90 <br /> P 1) R A t E U <br /> ►Nt ASStlRAMCI OF 0UAt11r Novato, CA, I I Digital Drive, 94949 ❑ Huntington Brach, CA, 5702 Bola Avolue, 92649 <br /> 415 883-6100 714) 892-2565 <br /> Cunsultant's Name na �r rr Pak► ul <br /> Address Silt- Lucauon l ,e <br /> Pro ec,t Cowiltant Pro eu k Consultant Work RI.IcaSL# <br /> Pro e.et Contact �/� Phont N 7 7, Fax N Laboratory Work Rele ise# <br /> EXXON Contact ❑ EE ElC&M Phone N Fax b EXXON RAS N <br /> Sampled b (print) / '-, SJITi kr s St gnaturc <br /> Shipment Method P Air Bill N Shipment Date <br /> ANALYSIS REQUIRED Sample Condittun as RCLLIVW <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ Standard (5 d ty) <br /> Tcntperaturo C <br /> ' COOILr# <br /> Fo Inbound St-al YA s No <br /> in oo _ 011tllUtllid Seal Ycs No <br /> Q o v o 0 0 <br /> Simple Descnpuutt Cullecuuit Ma[r►x1'rs� N of 1'ACI 0 00 0 00 � <br /> Dat 415E a Sottlwaeer Cunt Sample I x 4 T Q 0. ¢ COMMENTS <br /> n., sz. a a cX a <br /> t-» w F- w hw <br /> r <br /> s L <br /> JI 1 <br /> zoIL- <br /> T)a <br /> Rt,hnqutshcd by/Affiliation tL T1111L Aeupteel by/Allihattun Dale Tune, Addrtrowl Commons <br /> Li <br /> c LL <br /> C �1 t? <br /> 1DmIribulum White: Onhin d 1 e.tluw I xxun I'mk Irb GOIdWrod Consu11an1 I utd Stall <br />