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cAtsuENCF LAB(LOCATION) Q Shell Oil Products Chain Of Custody Record <br /> ❑ r t <br /> ; : , •'Please;CheckA ro rlateBoit ;]Mika <br /> PrinfBlllrTo'ContadName:= ;'.'.. ""<.",.;: ': ti ( ),❑D(ED(IPNotHCIDENTaAPIg1ES <br /> ❑SPL I : PP P INCIDENT# ENV"SERVICES;? <br /> C1 TFNm r ❑ENY,sERvtcEs � "❑MornA REraL ❑sHELL RETAIL '� ..... . . •° �.. <br /> t � Mu I417ti9 9 8 9 9 B 1 8' 3 DATE Z— <br /> ❑+TEST AMERIG I iRUyF T I U MOTNA SDaCM I (J IbNSULTANT I U LUBE f r _ <br /> I I _ a n i"ir P.O:"#� 'I:'h•, ( t SAP.#�-r <br /> [3 OTHER I t ..:,. - <br /> ❑SHEtIPIPEUNF C1 OTHER :. - •. .. `"•-�.,. •. .,." �`.(�. PAGE:�_of•�_ <br /> uvara cow., 4 0 4 0 0 4 9 7 <br /> L00 Com: Wb <br /> Blaine Tach Services GTEAOO ;aewtand CityBTS9 <br /> AOORJAS: 4518 Waterloo Rd.,Stockton ICA T0607700400 <br /> 1680 Rogers Avenue,San Joao <br /> :OIOLLAENILt[TO RbN,Cp,wNONNIs+�k AAX6ND: :MIA: CaNd1ATMe RZpfi'CT NO: <br /> Lavin 11 Nrlcrvlercyr.PrfNyenNz Felicia Ballard CRA Sonoma <br /> Lorin King 707.978-0880 a 1'COSO�- `jyJ 1 <br /> TEIEI'NAE: OAViLEA NUa(31 P1'a ..... ... . <br /> rA4• aMAI 1 ::'IAS llS <br /> J1886.4466 x 108 X10.807.6802 ( <br /> 1hIrID t9blalnetech.com 11 11Q' y Le <br /> 0. " ;•;' '� �I: <br /> TU OUND TIME(CALENDAR OAYW: [I RESULTS NEEDED <br /> ANCX(IA DAY) ❑S DAYS ❑3 DAYS ❑2 DAYS ❑24 HOURS ON WEEKEND REQUESTED ANALYSIS <br /> ❑IA-RWQM REPORT PORM 1T ❑UST AGENCY: T I <br /> SPECIAL INSTRUCTIONS OR NOTES: Q SHaLCONTRACT RATE APPLIES TEMPERATURE ON <br /> 1)Please upload the"CRA EQUIS 4-file EDD"to the CRA Weboite ❑STATE REIMBURSEMENT RATE APPLIES <br /> (http://cretabedduplood.o mrfd.comlegWstdefaull.aspx)and/or send It to the Shell-US- EDD NOT NEEDED <br /> ~ m <br /> LabOateManegoment@CRAworld.com email folder. 2)Please indicate that you have of <br /> D RECEIPT VVUMTION REQUESTED <br /> used to tl deliver <br /> EDD by Including"EDD Uploaded to CRA wabaite"In the body of the email m B <br /> used to deliver the final PDF report to the She;l•US-LabDalaManagement@CRAwodd.com <br /> email folder. J-- <br /> Email Invoice and Copy final report to Shell•Lab.Blll' Matrix Codes•WO(groundwater),WS(surface $ $ o <br /> urg(d/Craworld.com.TPHd wator),WP(drinking water source),W(Trip or Tamp <br /> Ireporting limit=X50 watt.for GW San Joe uin Re rtln Urrtlta BMank • + 9 m m <br /> e <br /> -ample ant Icat on SAMPLINGa) gg c q G <br /> PREIERVATM <br /> $ O N Inn I, y id <br /> Ge� DATE SAMPLER N0. S�j <br /> ONLY <br /> PROJECT [MMDDYY) INITIALS WELLM TIME ii CONT. _ = g <br /> a aa `3� q' 3 Container PID Readings <br /> NCL J...NONE OTHER F F 4 0f 't Or LahO/9lOry.I'dOtaO <br /> GW G101 )7__ D1_Aj_MW-tal�oc� fr j <br /> 1 <br /> i 113 O <br /> R+NgWYad M:I ) <br /> oft <br /> �+ <br /> R�wd R.w.a h:ia4wq <br /> Dm rLvr: <br />{ Ranuu.del lavr+A1., <br /> Rolnd or.(GVW <br /> o.d: TImY. <br /> a3 Xv7,//1, <br /> (25� <br /> N _ �'/�,, - Z T.s3 t,3 t\'). `t4? )) ('r/ aenaR..uen <br /> / /6.3U, <br />