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CALSCtEJ`CE( LAS(LOCATION) Q Shell Oil Products Chain Of Custody Record <br /> p ) <br /> ❑SPL, Please Check Appropriate'Biiz;:.... - PriritcBilf To'CDMact Name: �'INCIDENT"#'(ENV'SERVICESj' []CHECK IF No lNaofNTYADPLIEz <br /> _) <br /> ❑ENV.SfftVICrS , )[�MOTIVA RETAIL ❑SHFLL RETAIL I <br /> El XENCO( 1 Jeff Gaarder 060223 3 0 0 5 0 2 DATE: VZ,/ ( / ,� <br /> ❑MOTNA SDRCM Q CONSULIANI' ❑ UBES <br /> Q TEST AMERICA C IRy1NE ) LPO" PAGE: ��� of <br /> ❑OTHER( _) ❑SHEiL PIPELINE ❑DTHFR <br /> 4 1 0 4 0 3 1 4 9 7 3 <br /> S.iW'LIRG GO\M.WY'' LOG CODE SITV ADDRE85 SVtend Cey SIa4 GLOa..LD— <br /> Blaine Tech Services BTSS Cordes Ranch,Hansen Road,Tracy CA SLO607708243 <br /> .aDRces" epP auveR>s�F To tw„..wv"N.ad+.Lermr vrroNE rp.: E-u.x: cor;s(n,TNlt PROJEcr No.: <br /> 1680 Rogers Avenue,San Jose _ <br /> '"Q1ECiOMT"("'•*'°Pr°`"0i`""'°""} Felicia Ballard CRA,Sonoma 707-M-4850 sonomaodf erawnrld.com <br /> Lorin King I LAB USE ONLY <br /> ICLEP— F.u: CIYY: - .. . <br /> 310.885-4455 x 108 310-637-5802 IRin blainetech.com <br /> TURNAROUND TIME(CALENDAR DAYS): ❑RESULTS NEEDcD REQUESTED ANALYSIS <br /> ®STANDARD(14 DAY) ❑5 DAYS ❑3 DAYS p 2 LAYS Elm HOURS ON WEEKEND <br /> ❑LA-RWQC8 REPORT FORPWT ❑LIST AGGNCY: <br /> TEMPERATURE ON RE: C. <br /> SPECIAL INSTRUCTIONS OR NOTES: O SHELLcorrtnACT RATE ADDUes w <br /> 1) Please upload the"CRA EQuIS 4-file EDD"to the CRA Website ❑STATE REIMBURSEMENT RATE APPLIES <br /> m <br /> (http:/lcralabeddupload.craworld.comlequisldefaulLaspx)and/or Bond it to the Sholl-US- ❑E00 NOT NEEDED a <br /> LabDataManagement@CRAWorld,ccm email folder- 2) Please indicate that you have Q RECEIPT VERIF]CATION REQUESTED 'o <br /> uploaded the EDD by including"EDD Uploaded to CRA website"in the body of the email o a d <br /> used to deliver the final PDF report to the Shell-US-LabDataManagemen(@CRAworid.com m O f <br /> email folder. m m <br /> Email invoice and Copy final report to ShelLLab.Billing@craworid.com. TPHd Matrix Codes-WG(groundwater),WS(surface 9 o <br /> U <br /> reporting limit=<50 UgIL for GW Run TPH-D w!Silica Gel Clean Up water),WP(drinking Water source),W(Trip or Temp m <br /> Blank) a w D <br /> Field Sample Identification SAMPLING E F� o E <br /> PRESERVATIVE .- � <br /> UD GATE SAMPLER o: �pH n x > u O $ t LT Container PID Readings <br /> PROJECT NUMBER WELL ID TIME <br /> us <br /> (tAMDDYY) INITIALS pZp,, ps, pT� -LL c 4 p c aYa or Laboratory Nets. <br /> ONLY MGL NNW—0< NONE OTHERY- <br /> GW +, t t a w I t l I G 11I _ t✓ -.l�w� D f 3`(� CN ? '] J�. y <br /> -- i I (3 D /I( --{'d(t].11 I�t'D Imo/ 'I V( Ir •Y <br /> Rd�-W.us1aJ hy:(Syrotuel / Rx�iaed bl:(Sipnat�rel D.d: Tan.: <br /> Al" <br /> f V CiUC7 <br /> Rwwvian.d by:fsgn.ny R--d bt.(Si.. ) para: Two: <br /> RMnQ .,d by:(Signa ) N.wtl by f�19^�tua) Dade: Tim. <br />