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CHAIN OF CUY RECORD 390494 0 <br /> Tes America <br /> Nashville Division Phon 5-7Z6-0177 <br /> M a a ,E a 2960 Foster Creighton Toll Free"800-765-0980 EI�n o <br /> Nashville,TN 37204 Fax 615-726-3404 <br /> Consultant Name ETIC ENGINEERING Report To TED MOISE <br /> Address 2285 MORELLO AVENUE Invoice To Jennifer Sedlachek(EXXONMOBIL TM) <br /> City/StatelZip PLEASANT HILL,CA 94523 Account# 10235 <br /> ExxonMobil Project Mgr Ted Moise PO# 4504349422 <br /> Telephone Number (925)602-4710 EXT 23 -- Fax No (925)602-4720 Facility ID# 7-3942 <br /> Sampler Name (Print) Site Address 4444 North Pershing Avenue <br /> Sampler Signature City,State Zip Stockton,California <br /> Preservative Main x Analyze For <br /> CL N q4 m <br /> c a m ❑ <br /> J Nt <br /> 9 m <br /> �1 N ti } W v <br /> ro <br /> E0 F, � J .5 V m o 2 v `m CO <br /> w z <br /> rn fn 0 a 1Z a r7 ami .�. rn a m 9 Q N <br /> Sample ID I Description 1 Z c7 0 LL r z i z o` in w° a ¢ N <br /> 4 <br /> ' M O <br /> U <br /> �f <br /> G <br /> Specia nstructions GLOBAL ID#T06001012 EDF FILE REQUIRE Laboratory Comments <br /> Temperature Upon Receipt <br /> Sample Containers Intact? N <br /> VOCs Free of Headspace? Y N <br /> Rehnqu+s d by Date Time Received y Date Time <br /> PX o� �;X <br /> � ,6-1 <br /> Relinquished by Date Time Reoelvid by TestAmen Date Time <br /> G%Projects17394ZP1JBLIC12004 Dnlling173942 COC xls PAGE_I_of <br />