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LAS(LOCATION) Shell Oil Products Chain Of Custody Record <br /> ❑ousz r Please Check Appropriate Boz "t 'Print Bill To-Contact Name: ' INCIDENT#k ENV SERVICES <br /> ❑SPL(.- 1 Cl ENV.SERVICES ❑MOTNA REIAL ❑SHDJ,RETAiL ( ❑CHEIX IF NO INCIDENT 7 APPLIES <br /> 0==( La Silva 241359 9 8 9 9 6 1 8 3 DATE: 2_211 2df 3 <br /> TEST AMERICA r IRVINE ) ❑MOTIVA SDGCM Q CONSULTANT ❑LUBES I .. .P� � .. ,$Af? <br /> ❑OTHER( 1 ❑SMELL PIPELINE ❑OTHER PAGE: of 1 <br /> 4 1 D 4 1 0 3 1 4 9 7 3 <br /> fWrLfL Wb•NVT: laecaoc; � arla AeDRCn+aC"N UW CIry nob OLg14.p NO: <br /> Blaine Toch Services BTSS I 4315 Waterloo Rd.,Stockton ICA 70607700400 <br /> naertccra I car0urvrs.nerow«�..e«�ear.aab.lwwnx rRencrw: �.wA: axwuuun rnoxcrrvo: <br /> 1680 Rogers Avenue,San Jose A <br /> rrwccrcaprncr tR«.oeov«ro.nw.n.x I Felicia Ballard,CRA,Sonoma 707-93S-4850 sonomnodf crtTwoAtl com 13mz2 `��I <br /> Lorin Wng uprM1L'nNNAcpl n++no: L4B.USE'oNLY <br /> TLLCPHOpr: <br /> 310-8854455 x 108 310.637-5802 lcinafoblainetech.com I G + <br /> �TURNAROUND TIME(CALENDAR DAYS): ❑RESULTS NEEDED REQUESTED ANALYSIS <br /> ,}TANDARD(14 DAY) ❑S DAYS ❑3 DAYS []2 DAYS ❑24 HOURS ON WEEKEND <br /> ❑LA-RWOM WORT FORMAT ❑vST AGENCY: I TEMPERATURE ON RECEIPT C <br /> SPECIAL INSTRUCTIONS OR NOTES: ❑O SM ELL CONTRAOTRATE APPLIES I s ✓� <br /> 1)Please upload dte"CRA EQuiS 4-file E00"to the CRA Wobsito ❑STATE REIMBURSEMENT RATE APPIM <br /> (httpJlcalaboddupload.cmworld.com/equWdef.nAtaspx)and/or send it to the Shell-US- ❑FDD NOT NEEDED Ur m <br /> a $ <br /> LabDataManagomont@CRAvrorld.com email folder. 2) Plaaso indicate that you have []RECETPTVEFIFTCAnoN REQUESTED F 25 <br /> uploaded to EDD by including"EDD Uploaded to CRA website"in the body of the email o m <br /> used to deliver the final PDF report to the Shell-US-LabDotaManagoment(BCRAworld.com m $ f3 1 <br /> email folder. <br /> Matrix codon-WC(groundwater),WS(surface <br /> Email Invoice and Copy tlnal ropon to Sholl.Lab.Billing@craworld.com:TPHd water),WP(drinking water source),W(Trip orTomp m C o + = c o N <br /> r rtinp limit=X50 poll- GW San Joa uin ReportingLimits B1enk <br /> Field Sample Identiticatiotl SAMPUNs vasncmAmc I <br /> coDATE SAMPLER <br /> - PROJECT NUMBER �y,O INITIALS VVELL1D TIME coiTr. z s s r > c m c CanGlnor PtD Readings <br /> (MMQIDLY HCl NNOO MLOs JNONC OTHER <br /> m m m m lu w w w x or Laboratory Notes <br /> Gw 13022t,C-,,e1 ozzt 13 <br /> i <br /> KMmu"I eY(Vw— M M:t1-"" .) I // Doh: TNnr, <br /> �� LSam CSa� o2/ZI 2�� 13�j0 <br /> RWngi/e1nE eY(a .) R—oby,( 1. I O.h: T"K <br /> (G 21") <br /> pe6gWIMn M• R.talwd eY:i' r—) D b: Tk'% <br /> —.•` r Isr"RM.bn <br /> W •I{ <br /> I ' <br />