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LAB(LOCATION) Q Shell Oil Products Chain Of Custody Record <br /> ❑calsO[xCEt t INCIDENT#(ENV SERVICES) I❑CHECK IF NO INODEMrd APPLIES <br /> 'PleaseCNeCkApp[Oq[iateEDX: - Pdtlt Bill T4 CDniactDlame: <br /> El SPL L— 1 ❑ENV.EERVI[FS 13MOTNA 0.ETAIL ❑SNEU EEL AURREY COOL 241]29 30Ut]fi2 DATE: <br /> PAGE: <br /> ❑NOMA SOaCN m C---LTAM1T ❑EUBFS " <br /> NEST pNENU ( 1 <br /> ❑SNELL PIPEIINE ❑DTNER 356164 <br /> ❑OTHER( som maw.: <br /> LWnrc. afIEOLUVSS:aORHaMLIIy <br /> sm.nmov PeNr. CA T0�0]]00776 <br /> C<a°at°Oa-Raven BAssPdates CRAW 7513 NAW ORNE,STOCKTON CA a , <asiueroaDfaw: <br /> accvEuwuaaemow...�.e...m°•L°'®°"' Pw.e ra- h II M®cmw°ndmm <br /> 5800 HOLLIS ST.STE A,EMERYVILLE.CelifamW 94608utrzsssre Os <br /> Brenda Catlar CRA,EMSM111- 510<20J743 Aqa Use awcY:'. <br /> °ov:H maacrw.m�wmrss N.�m) vanmw«caHo*�t <br /> AURREYCOOL SHERRY PHILLIPS <br /> 11FAe"a' ren <br /> 5104 30JACOOLaworld ROmJ76 1510)430-91]0 em <br /> WMMOUND ME(C OAYs7 ❑RESULTS NEEDED REQUESTED ANALYSIS <br /> [3STANDA0(19 DAY) 0513AY5 13 DAYS ❑2DAY5 [3 24 NOUNS auw END ) TEMPERATURE ON RECEIPT <br /> ❑to-RWQCB REPORT WRMAT 0 VETAGENCY: t D• <br /> � <br /> p$NELL CONIAACT MTEAPPUFS 0 o m n (�( , • 2 <br /> SPECIAL INSTRUCTIONS OR NOTES: 13 TATE REIMBURSEMENT RATE A➢RIEs u` <br /> n a mm • f m <br /> (]FDO NOT HEEDED n <br /> m m c m C r <br /> m n n m <br /> pECE1PTVERIRUTI0N 0.EQUFSTEO w w <br /> m m •Uf x Ev e m m ° m <br /> SAMPLIND Pl WAirr£ K rc o • n u ]? n o s m o m n a i Conlalner PlD Readln9s <br /> Na<r V 4 <br /> le Identifion q°iR°H ca+*. u n z u er Layoamry Nares <br /> Y.te DATM TIME F H F m m 0 m O f N W to f 6 <br /> Field Sampcati6 a U <br /> ase '. tt HHL w+Da Nsw Na+E oLNe+ <br /> X X X <br /> — 1 l K X <br /> b I n K X <br /> So }a <br /> -(o <br /> LLO <br /> qtl M.9T+Ne) � <br /> 5 qCyA�FISW�wel(V DEauY —,1 � , � � I✓ � o <br /> D <br /> Ra�m.a.a ISOsveH ^ CI rl_f NarvatQem..aH � /y I r�..t> C/ <br /> (/„// /Sa 0O �f osrooagsm <br />