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IIiY <br /> SHELL 411. COMPANY CHAIN OF CUSTODY RECORD Dalo: <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST 5 o r I a I No• pagQ `,of <br /> to Addross: „ <br /> V 1267 Country Club, Stockton, CA I� Analysis Required LAB: S*-!s a <br /> 204-7524-0204 Cll1CXoin(1)1OXIII- Y 01101 1uI?lA40illenµl <br /> loll Encglneor; cW. "GRloclao ❑ "it <br /> Phone No ; (510) r 24*oun ❑ <br /> Karen Petryna Fax 913 ISO lnr•Illgc Ian ❑ 4411 <br /> onsullanl Name & Address: 36-3541 o Alsow ❑ <br /> Blaine Tech ServicesQ lorcla. ry/ONpo+a1 ❑ 4412 1ldayc []tlloimoo <br /> Way,1680 Roplers San Jose CA 95112 Wa1.� <br /> onsullanl Conlacl: Phone No ; o 3 clwcW/Dicpacal ❑ 1111 al.•+ ❑ <br /> Francln Thie (510) •• a r; <br /> 573-055 N "' SON/Alf Ism e+iy+, <br /> fax N: 0 m w .d � o A{.l ❑ 1112 <br /> (cj 15 Q cn ` NOR. Haft tae ac <br /> ommenls: N <br /> nr Wolof Room of lye ❑ 44i] +POR as raulbl•of <br /> o v o co o A u 71/16 hl- 1A1 <br /> 0 v I <br /> ampled by: a <br /> r o j Il ❑N o c <br /> K V) U UST AGENCY: <br /> fnl©d Name: � O p r ' <br /> o► ,� <br /> n n ivi N <br /> ° �� SAMPLE <br /> Na of �x Ti E �+ ° MATERIAL CONDITION/ <br /> Sample 1D Dole Sludge Sall Walar Ali canis U fl a o o DESCRIPTION <br /> _ _ a- u 11 COMMENTS <br /> _ I D <br /> �f <br /> C <br /> --Doff M%ff ACTO WOULD 65-" <br /> LE TF A VR If�o�r <br /> Int;Dhod by(slonolu <br /> Prinlad Namo, Dn10 Racaly (ilg t Pr nlad Nam .— / Dale. / <br /> ono .'' <br /> Ilnqul o Pilnlad Noma, �� Da10 oc <br /> ILryla it �[ T1mo3,''- <br /> An rhad-ey(ilpnaluia), P+Inted Namo �nln II Ruculvacl 1 oltuol. EPilnlmd Namo, II <br /> Tlmp II I Ralo Y-12--6 - <br /> f1ma, / <br /> rr lIE1d94EdI4kY_Mll�I1'B4Y10EAL-QV QQ1l11U1IAIH..4fCUSTQDY JjWtMjQI REI LIS II <br />