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C <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD dale. 1016A6 <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No,. geroo(.- TL______ Page Z_ of 3 <br /> Silo Address: , <br /> 51, 2575 County Club Blvd. , Stockton, CA Analysis Required LAB: - �'e <br /> WIC <br /> , l CHECK ONE 11)/Ox ONLY 11 CT/Ur ]URN AROUND TIME <br /> 204-7524-3505 I, <br /> Shell Engineer: Phone No.: 510 r witioAn0 4411 <br /> l 24 hour <br /> Alex PerezFaWk 6168 `r� $I*tnv.11ladlan ED 4u1 <br /> IlhauConTa [ <br /> ane ?ec% rdiCe5Inc, Sol claYA10poral u <br /> 00 <br /> 16 days (Norman <br /> 1680 Ro ers Ave. San Jose CA 45112 x w- wale, 11 <br /> Consullanf Conlacl: Phone No.; 408- -- p cla�rw/awparal 4443 athel p <br /> Fran Thie 1 573--0555 N y N %9 $olr/AkRormatSys <br /> Fax • 573-7771 4 tO <br /> W 11 MOTE Nally tab as <br /> Commenis: water Rem,at syr soon as Foodble or <br /> O 4 a W a M ji 1153 24/41 hrr IAT <br /> x s <br /> Sampled by. r' n o N CL other 11 <br /> o co rn a a , c a, UST AGENCY: <br /> �► ° z11 <br /> Prinled Name. 'S-�tl�, ;M, 'l, a w a ° c b o SAMPLE <br /> a o a <br /> Sample ID Data Sludge Sc11 water lllr No or a �� o y o '� m o MATERIAL <br /> DESCf21PT ON CONDITION/ <br /> COWS , . , , 1,�, COMMENTS <br /> WI ee z <br /> mw it <br /> 4k] <br /> IF-- <br /> Uj <br /> nom �I <br /> x <br />�ibtln�Ifi �—( ro). Prinled me. � �_ <br /> Dato ! ,r RecaIvad g �turo) P�nled Noma /� Delo L N-X"-� <br /> S�1/I I V�4 <br /> Time J3 �fGef ��/s�l�Fc c•/L/C> <br /> g911ngL�I sign IrTled N me, Da9. <br /> la !� Ti <br /> Recelved(slpnaturo), Prinled Name: Dp a <br /> A Al- r A /ZD�G Time 3 i ! rlm0 <br /> Rallnq shad By(slpnalu Prinled N mo Dale 11 Race ad{slgnalur Pd w d No e Data. V r <br /> Timo " , �J ,I Time, <br /> 11 <br /> IE I u own r[..ba <br />