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ne � � � � � � <br /> EXXON COMPANY, U.S.A. <br /> ace, <br /> P 0 Box 4415, Huustnn, TX 77210-4415 <br /> tHcoaroaerto CHAIN OF CUSTODY <br /> 111E ASSURANCE or OU411rl Novato, CA, I1 Digital Drive, 94949 ❑ Huntington Bealf), CA, 5702 Bolsa Avenue, 92649 <br /> 415 883-6100 714) 892-2565 <br /> Consultant's Name �� v� <br /> Page al <br /> Address C'NT'( z <br /> Sue, Location �+�--• Q <br /> Project # Consultant Pru ect fl 4q373 -4Z eZ6 3 Consultant Work Release N 0 1300$x►ib <br /> Project Contact Q ✓Y1 Phone 1 t) �`7j-'�CJ]7 Fax N 3�3� LaboratoryWork Release# <br /> EXXON Contact • (91 u�i'3(z 14- EE ❑ C&M Phone a rJ 10 �"�]'�(7 F x fl EXXON RAS H :Z-394-2 <br /> Sampled b not nt D04-ACQL1..r Sampler s Signature �W <br /> Sht mint Method G C ),>l it{er Air Bill b Shi mens DateC?3 <br /> � <br /> `'] � ANALYSIS REQUIRED Sample Condition as Received <br /> TAT 24 hr El 48 hr ElL_L <br /> 72 hr IStandard (5 day) Temperature° C <br /> X Cooler N <br /> Fes• o Inbound Seal Yes No <br /> 00 �' �, Outbound Scal Yes No <br /> Sample Descnp(ron Cullecdon Matrix Prsv #of I ACt00 <br /> v <br /> Date/Time Soil/Water Com Sample N x < y a Q COMMENTS <br /> a a, a a. in <br /> l-. w >- w t- w <br /> !�w £s 1l3 } 3 n <br /> -7 ro , <br /> Mw)1 I4� <br /> AkwIZ 7C <br /> 164 Z X <br /> 9,W L 16 3 X <br /> 2va� <br /> 60 <br /> V, 111up <br /> Relinquished by/Affiliation Data, Tuna Accepted by/Affiliation Date Tune Additional Comments <br /> lhslnl+inion <br /> While Onguld tI xxon l'111k Idb Goldenrod Consultant Field Stat? <br />