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SHELL OIL COMPANYI <br /> 1 �� CHAIN OF CUSTODY RECORD Dala. <br /> RETAIL ENVIRONMENTAL ENGINEERING - WES;f Serial No 11810o S- SZ <br /> Silo Address: Page k of Z <br /> 141 N. El Dorado, Stockton, CAI II Anal Si5 Required LAB:wIC#. I• <br /> 204-7524-1504 I +y cNeCX ONE(r)gax otI Y CTInT TURN AROUND WE <br /> Shell Engineer: Phone No $(5 10) r O W k+anllom9 L] ass+ <br /> 675-616 + 24 hours ❑ <br /> Alex Perez Fax fi• 675-6172 4 lA.rgv.rlrgdbn <br /> CQnsuffantpalne & Aodress, o <br /> ❑ A-w al hour ❑ <br /> Blaine ec i Services, Inc, P SoNCkmVy/nl,poFor ❑ u,z <br /> 1680 Rogers Ave. San Jose CA 95112 00 16 days ]u+ormnp <br /> Consuflanl Conlacl x Wolof <br /> QQr� o m clordtylolrporal ❑ u1! Olh.r ❑ <br /> Iran Thie P73�05551(408} N <br /> `^ u2f SSQUTA Ram of SV ❑ 4132 <br /> Fax #• 573-7771 a � co <br /> Comments -0 Q L Non rrolNyla6ar <br /> a <br /> 'U '13ll cV w p 11fnf0,A.aL orSy1 soon ar fonWo of <br /> 0 N W O i M E] moi! 24/Js hrr rAT <br /> SanPled by. / N c ° Z Olh.r ❑ <br /> ✓J I q 0 4► o <br /> a N C ? �I <br /> Printed Nana: _r�, . �, rf,�� ¢ o O �, UST AGENCY: <br /> �KNc S+tii,dVU ¢ Q a GS ` U ,I <br /> CL (, o C O o c - a <br /> Sample ID Dula Sludgo Sall Wal or All No o! w � E A c a MATERIAL SAMPLE <br /> Conti f m j ,°i �j Q U ate` V DESCRIPTION CONDITION/ <br /> 11 COMMENTS <br /> w - � <br /> 11 <br /> w- �� x CD _ os <br /> - 11 <br /> j <br /> V�� II <br /> )llnqul h d By( !u ) Prinlod Name Dale Roc vod fln ure) <br /> Prinlod Noma a <br /> limo !d.'�� �/�aiL I-( Dalo /�- <br /> qulslrad isJQnalu Prinlod Namo Prinlod Nama o 10 -3s- <br /> (21" <br /> 0 3s <br /> l/ ����,, rr i Data o-; - RacoNod (slpnaluro) <br /> �f e r /2'iJ G limo 11 DaInL <br /> '%Qd By isl nalur Prinlod Hama I Dolo I)Ma <br /> ff RocoN (signal a) Ptlnlo Name <br /> limo ff ', Dale <br /> 1 <br />