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! e-) -�) ---tY-- '-, I A.... <br /> - <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date: 16 /6/96 <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Sorlal No. `161006 —T I Page [ of 3 <br /> Site Address: Analysis Required LAB: S� ao -` <br /> 2575 CountryClub Blvd Stockton, CA Y q <br /> WIC#; —�^ CHECK ONE 11)1OX ONLY CT/O1 1URN AVOUN0 TIME <br /> 204-7524-3505 <br /> cw I.bnNodnp t1{1 <br /> Shell Engineer. Phone No . 510 r+ �, 24hour ❑ <br /> FaVC -6168 IN*Invssllpdbn ❑ Eu1 As ham <br /> Alex Perez t' � ❑ <br /> Con It nl NamQ & dd(ess � soNckudfy/roNpasol ❑ tw <br /> wine Tech Services, Inc. la day: Narmaq <br /> 1680 Rogers Ave. San Jose CA 95112 .� w 4 wcdoymipasal El ah,, <br /> s T, <br /> Consultant Contact. Phone No.; 408- = Sau/AL Rom of Sys <br /> Fran Thie 573-0555 <br /> rs <br /> Fax N 573-7771 0 m ¢ ,��, °i� ❑ aest NDtf NoWyLabas <br /> (J o wat.lgerm al Sys lJSS loan m Fasslbl.of >� <br /> Comments. �^y 0 a i M C]91/ti his TAI <br /> Q <br /> a C n r S Z Dthu El <br /> Sampled by. o n o <br /> as - a o a UST AGENCY: <br /> Printed Name: � � SS1'1l a n W c a <br /> ULI ^ ° -O k y o 0 o MATERIAL SAMPLE <br /> X -- E n. E CONDITION/ <br /> Sample ID Dole sludge soil Wolof Ali No Dl � o O Q a a o DESCRIPTION <br /> conls �.. ,. an I-- U ¢ U a U COMMENTS <br /> Q f <br /> cl x x <br /> (,j -� t/ X <br /> W 11 <br /> W -S clx — <br /> olln a B (sl alum). Prinlod N me. dale o-8=199 Racolvod(sign ure) Mad Name, Dolo la- `9 <br /> Time !w-3s` �n Lhah6e1 f�/4 flo/�� 1- 1 <br /> 11 qu} 186 By gn Prinled Noma, Dula e— q Received (slgnaturo) Ptlnlod Name. Dole, <br /> sem- ./a f ofc,� lime Time, <br /> Rellnqulshed By(zlgna e) Prinlod Name. Dais Rac Nod(signq"), Ninled Dale: 0 <br /> Al <br /> Time, jLtav <br /> THE LABORATORY MUST PR.QVIDE A QQRY QE lflil-�'-HATN OF-CUSTODY Willi gn c I <br /> swe a oN a Gr+ve► <br />