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Ashk <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date: <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Sorial No: 970 f175- - Fi page of; <br /> [SI!IoArddress:75 County Club Blvd. , Stockton, CA Analysis Required LAD: S�`0Ko.A <br /> ic�: <br /> 204-752/1-3505 C11ICKONE(1)SOX ON(Y CT/pr TURN At0VH0V <br /> Shell Engineer: Phono No.. 510 Cw• wnRomp ❑ �rt1 <br /> -- 0 24 Aorn ❑ <br /> Alex Perez Fa71 168 sR.rnr.rllpdbn ❑ su1 /1aaun <br /> Can u1�itqnI ft & dd[eSs: o ❑ <br /> lame Tecri Services, Inc. L; SokCla..W/DYposar <br /> ❑ 4U2 i <br /> 1680 Rogers Ave. San Jose X wars 16days CA 95112 t ay ❑(Nor <br /> C <br /> Consultant ConiachPhone No,; Gob- .. m sy cla.rlrY/Dgporar D 4443Other ❑ <br /> Fran Thie 573-0555 N N soR/AYR.IstiarsYti <br /> Fax N: 573-7771 4 00 .n oaf( ❑ 4452 <br /> Comments: v < HOM HOW lob am <br /> �. Wal•r R•rn or 31n loon of ftulbl•or <br /> �O �D Q �N adp O a M ❑ II!] 24µI his. 1A1 <br /> 0 U Z Other ❑ <br /> X <br /> Sampled by: -7T- in � C 9 W o 9t <br /> .— ...• o lJ Q [ N � <br /> 4 Co a UST AGENCY: I <br /> Prir;led Name: %•-, C'-'2•�r= 4 W 0 C3 } o c <br /> x bb Ti <br /> a E a "m �� a °- MATERIAL SAMPLE <br /> Sample 1D Data Sludge So[I Wolor Air No,of a h o N O `� A 0 0 CONDITION/ <br /> coral:. to � ,v u d U a U DESCRIPTION COMMENTS <br /> x y aG. 01 <br /> LA T2F1"�S <br /> x x x Cl3 <br /> Rtfllnqulshed By(slpliaamo. Rocol�od(slpnaluto), NMI'ogZno ). ' <br /> T1 jDalov- <br /> Rollnqulshad By(signature); Nlnlod Name. bolo Rocely (slgnoru Prinbd Namo: <br /> Tim* Ama; <br /> Aellnqu(shsd By(signature): lnlod Name. Dolo, RecGTV WQg } Printed Namoy Dale: <br /> Amo: <br /> .wa r <br />