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LAO., �` T' - SHELL Chain Of Custody ,I Record <br /> Lab laenlifia>ion(if naceasary) Shell Project Manager to be invoiced: iN IEIM ; i111Fk <br /> Address: .. .. .� <br /> . .: ::::. Karen Petryna 9 8 9 9 51 8 714 DATE: <br /> City.Slate.zip <br /> :❑'i�l4Ft13:�:�: > :: `( I� PAGE:� of <br /> SAMPUM CO~: SITE ADD (Bann and <br /> Blaine Tech Services STSR 341 East Main Street, Ripon 11T0607700724 <br /> A00FIEM VWQEUVERAALETO R ip PUM1T v a4Mk PHWIFNO: &1NVL: CONSULTANT PROJECT NO.: <br /> 1680 Rogers Avenue,San Jose,CA 95112 <br /> PROJECT CONT c�PTa pk Joe Nee 707aJ33_M61 Sonoma cambria�nv.COm STS elZ� '�• 1 <br /> Leon Gearhart auewERNAkalstaP�rlk ;i1ABr ra <br /> TEl9110NE: FAX EMIL' <br /> • <br /> 408-573-0 ne <br /> 40873-7771 fDa <br /> art)a[t�41a€ tach.cam <br /> iiv`► 1n� S halve•vim <br /> �I <br /> TUROUND TIME(BUSINESS DAYS).- II <br /> M'110 DAYS ❑ 5 DAYS❑ 72 HOUR5❑ 48 HOURS ❑ 24 1401,11<3 LESS THAN 24 HauRs REQUESTED 'ANALYSIS <br /> ❑ LA-MOM REPORT FORMAT ❑ UST AGENCY: <br /> GC/U5 MTBE CONFIRMATION:HIGHEST HIGHEST perBORING ALL �f n FIELD NOTES: <br /> SPECIAL INSTRUCTIONS OR NOTES: CHECK BOX IF EDD iS WU NEEDED A o <br /> _ S 03 <br /> Q ColttainerlPreservathrs <br /> 'Detection limits must be at least 0.5 p.p.b.for MTBEi� or PED Readings <br /> N ROWUlT iEA TH arLaboratory"as <br /> e m P Rev IT/C ER ICE <br /> S. <br /> SAMPLING I NO.OF g 4 m i TEMPERATURE ON RECEIPT C' <br /> Field Sample Identification 5 <br /> E>NE Y p DATETIME carr. EO O to i W <br /> 'lug 16W UJ <br /> II <br />� II <br /> II <br /> it <br /> I N <br /> �IA <br /> li OI <br /> RokR"wd by:ISWlaana) R-dre4 t7Y( —) DaOX Tielw m <br /> ,i <br /> � 11 • � <br /> R aY:15VIA ei -- Recond hY(SWO-) Dale Time. <br />' II <br /> RNkgwhw br�(SV-an) >N nea>ra} Daec raw a <br /> I� <br /> jDISTRIBUTIO.Wre v yap, Gmw b File.Ydbw an4PMk M Ciera _ �I 10116100 R —. <br />