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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date: <br /> ` RETAIL ENVIRONMENTAL ENGINEERING - WEST Serlal No: 19 017 7` S 1 Page 72- of 3 <br /> Silo Address; Analysis Required LAE: <br /> ��! 2575 CountryClub Blvd. , Stockton, CA Y 4 q <br /> W ICII: CHECK ONE(I)SOX ONLY CT/DT TURN AROUND TIME <br /> 204-7524-3505 <br /> G.W. Mon3omo ❑ "$1 24 houn ❑ <br /> Shell Engineer: Phone No.: 510 a <br /> (1 8 �- N 311•Inr.dlpolon El our <br /> u"T 41 h <br /> 475 <br /> Alex Perez .- ❑ <br /> Con�w.�lcynl N?m�BL lddioss: Inc. p Sol C1a+.Ity/T7Mporal ❑ 4[12 U day@ ❑(Hcrmat) <br /> a ne ec ery ces. to <br /> 1680 Ko ers Ave. San Jose CA 95112 X w°r•r aua <br /> Consultant Conlacl: :::bf: <br /> ne No.; 408- o -� clarrlryrnl.paral ❑ Q1hi1 ❑ <br /> o LU <br /> CNI <br /> ab cis <br /> Fran Thie 73-0555 N to 08 O&M A�morSyr. ❑ "S2 <br /> 573-7771 u m ¢ ,n HOTS: Ncnlylleof <br /> (} p 0. � Wafer k.rr�or Syt. goon of IordW.or <br /> ! ! ❑ 1r57 4e/48 hir. TAr. <br /> Cammenls: �yrr�g�, N w o M <br /> `Y'hiVl �j� o ❑ <br /> U n. O Z olh.r <br /> Sampled by: � 2 o v o c -v N } <br /> a o � � � g *� o m UST AGENCY: <br /> /'�� Y� Q o <br /> Printed Name; rr'�E a MATERIAL SAMPLE <br /> o <br /> No.of x z w : E Q cL E CONDITION/ <br /> Sample ID Dale Sludge soft Waler Alt 4 w o o a m o DESCRIPTION <br /> conk. m > r- U ¢ U ci U COMMENTS <br /> qu 1/1x1 W- \ X <br /> CIV 0\ <br /> ? �P <br />' `f CR lir ►sG-11[ - I <br /> Y, x <br /> I`1J Zq!�'2 �-G \ I 1 1. t X1 <br /> RelingttlsPrinled Name: C Dela: 1-7,74 I Racatvod^(sign�al ): Prinlad Name: <br /> J "7`l Time: Ll� I- <br /> !=2—TV= <br /> RvlingJshad ey W n o): Prinlod Name: Dole: , 2`)•")I P6C9lvQd(sInaluro): Prinlod Nomor Dale; <br /> 2 U/ Tlme: mo: <br /> Rallnquls a By(slgnolura : Printed Name: Dole: Rocelvod (Ognalura Prinlod Name: Dalt+: 2A� <br /> nmo• <br /> A I r C—M w•.e. <br />