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El CAl5C1ENCE LAB(LOCATION) Shell Oil Products Chain Of Custody Record <br /> ( , <br /> ase ec ` ppropriate sox Pnnt:BiIITtTContact Narne: . <br /> ❑SPL( .-.) ❑E .SERVICES "" .INCIDENT`#"(EN�S ERVICES� ,QCryECK IF NO INCIDENT C APPLIES <br /> ❑MOTIVA RETAIL ❑SHEIi RETAIL .ry <br /> ❑xENCO(� ) Jeff Gaarder 060223Saw•• I <br /> ❑ewrnA SoscM DATE: 1 / I <br /> Q TEST AMERICA ( IRVINE (]CONSULTANT ❑LUBES <br /> r PO<'# ';L-t- <br /> OTHERPAGE:�_ of <br /> ( _ 1 CD PiPEL[NE <br /> ❑OTHER 4 0 4 0 I., 4 9 7 3 <br /> 5—No cc avu '. <br /> t c�E' $ITS ADDRE58'Strnl and Clry Sfaty GlCBAt IO rx1.; _ ' <br /> Blaine Tech Services BTSS Cordes Ranch,Hansen Road Tracy ICA SL0607708243 <br /> +aTlacsa: <br /> EOF L`E1N`JU9+=7a w.mr.Cmwm.arfi lwpnl; PVgNE no: e+w�S; cp+nu.rPNr oRpJEGT ItJ.: <br /> 1680 Rogers Avenue,San Jose <br /> o<+wecrca+rAEr w.rowwo<rrofRweeml: Felicia Ballard C12A,Sonoma 707-935.4850 sonomaedf craworld.com <br /> Lorin King GMVIER lcw,v: <br /> i-etenx�NE: LAB USE ONE,' <br /> EMNL: <br /> 310-8854455 x 108 3'10.637-5802 IkingC�bleinelech wm C;L '..� �.I!.-19A i- —I . <br /> TURNAROUND TIME(CALENDAR DAYS): (]RESULTS NEEDED <br /> STANDARD(14 DAY) ..`',:•..,:.; <br /> - ❑S DAYS ❑3 DAYS ❑2 DAYS ❑24 HOURS ON WEEKEND REQUESTED ANALYSIS <br /> {]LA-RWQCB REPORT FORMAT ❑USTAGENCY: -. <br /> ,SPECIAL INSTRUCTIONS OR NOTES: O SHELL CONTRACT RATE APPLIES ui TEMPERATURE ON RG <br /> E <br /> 1) Please upload the"CRA EQuIS 4-81e EDD"to 8,e CRA Website ❑STATE REIMBURSEMENT RATE APPUE5 a`% <br /> (http:J/Cfalubeddupload.craworld.cam/oquiWdefaull.aspx)and/or send it to the Shell-US- ❑EDD NOT NEEDED w ro <br /> LobDataManagementca CRAwodd.cem email folder. 2) Please indicate that you have Q RECEIPT VERIFICATION REQUESTED <br /> uploaded the EDD by including"EDD Uploaded to CRA website"in the body of the email o I <br /> used to deliver the final PDF report to the Shell-US-LabOataManagement@CRAworld.com n I <br /> email folder. us <br /> = v <br /> Email invoice and Copy final report to Sholl.1-ab.0illing@craworld.com. TPHd Matrix Codea-WG(groundwater),WS(surface z d o <br /> reporting limit=<50 pg/L for GW Run TPH-D w/Silica Got Clean Up water),VJP(drinking water tourco),W(Trip or Temp m@ m I$ o F <br /> Blank) w W > v <br /> Field Sample Identification SAMPLING PREZERVATIVE o o o m <br /> � °a z v <br /> LAB (TATE SAMPLER NO.Of V. Q .J t + i O w U p C C Z <br /> PROJECT NUMOER WELL 10 TIME tour. a XW uw ux, Ixy1�lpu ? - Container PID Readings <br /> uSE (MMDDYY) INITIALS a 6 F- F- F F-F - E N p nY- or Laboratory Nut- <br /> ONLY VIOL kNOJ N250e NONE OiNEa e1 m m m LLI ti (li W iL f r <br /> GW <br /> Q, `i d <br /> �oS 1 <br /> lX <br /> k1 /30 <br /> K _ _ <br /> Ra w.�b 16ro",tee) <br /> Rvorend by($p,v6rvi f <br /> X &41�-' <br /> Rel�:sh.d Ey.Ispru <br /> RocryJ Cy:i$pnvlu-e) �— Oetr. fur.V. <br /> ReE-pNaMtl b.:(Spwhual R.�e:.od by(Sprwn+rv) [AI.: .,,e <br /> GY'JCq Rrieim <br />