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2795 2nd Street Suite 300 <br /> Davis,CA 95616 <br /> Lab:530.297.4800 Lab No. Page 1 of 1 <br /> ANALYTICAL ccc Fax:530.297.4808 <br /> Project Contact(Hardcopy or PDF To): California EDF Report? ❑Yes ❑No Chain-of-Custody Record and Analysis Request <br /> Joe Neely/707-933-2361/jneely®cambda <br /> Co n /Address: naed but not mandato to Analysis Request <br /> rnPa y mandatory complete this aectlon: <br /> Sampling Company Log Code: Fa- <br /> Cambda/5900 Hollis St.Ste A,Emeryville 1i <br /> Phone No.: Fax No.: Global ID: 00 ❑ 12hr <br /> 510-420-3313 510-420-9170 cw O <br /> co <br /> Project Number: P.O.No.: EDF Deliverable To(Email Address): cO m c 3 24hr <br /> 246-0323-006 ShellOaklandEDF®cambda-env.com om w ElO <br /> co <br /> Project Name: Sampler 0 0 m S % a 48hr <br /> Shell Station Signature w E w 0 b °s W O O <br /> Project Address: Sampling Container Preservative Matrix ; a a N 8 o ; N 72hr f <br /> 1071 N.Main St.,Manteca,CA O w o = ° �° m ' m g 1 wk u. ` <br /> cr � ap t1 c c c c t� = v O <br /> Sample ' W w w w 4 i; p � m c <br /> E w J m O U Z F— J W W S = = S"c S^c S"c Q O <br /> Designation Q F- 0 <br /> Date Time �v ai a Q i i z 3 upi m m � F- 0 o W N i w > °; <br /> SP-1 1217/2004 1321 X X X 24 hr ©f' <br /> i <br /> r <br /> rMuished y: Date Time Received by: Remarks: <br /> or Analysis see attached waste management procedures for"Waste Oil'. <br /> pRelinquistl6d <br /> ished by: Date Time Recelved by: Please send a copy of report to Ray Von Flue 0 Env.Health Dept,San <br /> �24Joaquin Cty,304 E.Weber Ave.,3rd Floor,Stockton,CA 95202 or emait <br /> /� �i1'�� ® rvonflue®sjcehd.com <br /> by: Date Time R BIII to: I 3)1l <br /> t l �•-2l�jf ''L <br /> Kff ecoC 011204 <br />