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irci"& EXXON C ANY, U.S.A. ib <br /> P0 Box 4415, Houston, TX 77210-4415 <br /> tiic0RP0RATE0 n / CIIAINOFCUSTODY <br /> 1H1 +SSUA+MI:E ar au+tiTr l�.1/ NEivaai, CA, I I D[giml Drive, 94949 ❑ Huntington Bea h, CA, 5702 Bolsa Avenue, 92649 <br /> (415) 883-6100 714) 892-2565 <br /> Consultant's Name <br /> (/1 Low � L PagE: 0-2— of "L I <br /> Address Site Location Ors n <br /> Pru e" # Consultant Pro ect fl 3 •d�3 Consultant Work Release a Q 3�1 (] <br /> Pru ci-t Contact a a,rZ. EXE <br /> Phone. b p 37 d Fax H �3 38" 'LaboratoryWork Release a <br /> EXXON Contact C4-3 L5X EE ❑ C&h1 Phone o 24�—'377 F,x /I EXXON RAS �i 7- 354-2 <br /> — <br /> EXXON <br /> led b (print) L �� Sam lir s St nature <br /> Stii pmc,nt Method c'� 66u\rV Air Bill N Sht meat Date " <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ Standard (5 day) ANALYSIS REQUIRED Sample Condition as Received <br /> Temperature°C <br /> Cooler N <br /> o Inbound Sea] Yes No <br /> 00 PO 3 _ Outbound Seal Yes No <br /> U7 n n V S <br /> Sample Desenpuon Collection Maim Prsv 1I of PACI <br /> U <br /> Date/Time Sodlwater Con[ SalnI iii S <br /> b COMMENTS <br /> 3f x <br /> l60 x <br /> tr so—s Lo.^� <br /> 4fl( `�•l x <br /> Relinquished hylAffihanun Date Tlnll c ted by/ Batton Date Time Additional Comments <br /> S Z;a <br /> Ilturtlt n11, ! wlul+. E rigut d 1 d1ow- I axon link Irb GoldLnrud Consultant ritld 5t.,11 <br />