Laserfiche WebLink
SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date: 6/21/2004 <br /> Serial No: 1�11'iPae 1 of 2 <br /> Site Address: Shell Tracy Pump Station nalysis Re Ulred LAB: Sequoia Analytical <br /> Tracy, CA <br /> CHECK ONE 1 BOX ONLY CTIDT TURN AROUND TIME <br /> WIC#: <br /> GW Monitoring 0 4461 24 hours 0 <br /> Shell Engineer: Neil Stidham Site Invesugallan X 4441 48 hours 0 <br /> Consultant Name &Address: Phone: 925.426.2600 . Sou Classify/Disposal 0 4442 15 days. y X (Normal) <br /> Clayton Grp Services Fax: 925.426.0106 Water Classify Disposal 0 4443 Other 0 <br /> 6920 Kotl Center Pkwy, Ste 216, Pleasanton CA 94566 _ Soil/Air Rem.or Sys.O&M 0 4452 <br /> Consultant Contact: Mike Hurd _ Water Rem.or Sys.O 3 M Note:Notify Lab as soon <br /> y 0 4453 <br /> Comments: Project# 70-04696.00 <br /> U) g � '� ca as possible of 24148 hrs <br /> 0 LO a <br /> m Other 0 TAT, <br /> 00 CC)0 in Q N Z <br /> Sampled by: c � C) o 0, �, } UST Agency: <br /> Printed Name; Derek Sweatt °� 2 0° °.° a o c ;n (n <br /> co CL <br /> No. of CL n. a o v `0 m o Sample Condition 1 <br /> Sam le ID Date Sludge Soil Water Air cants. t— t- > U E- Q U 4 V Material Description Comments <br /> B1 @ 2.0-2.5' 6/21/2004 X 1 X X X 6" tube <br /> B1 fl 7.5- 8'- X X X " <br /> B1 @ 11.5- 12' X X X " <br /> B2 2 2.0-2.5' X X X " <br /> B2 @ 4.0 -p4.5' XX X X X X X X " <br /> B2 7.5-8' " " X X X " <br /> BZ @ 11.5 - 12' X X X X X X " <br /> B4 @ 2.0 -2.5' - X X X " <br /> B4A @ 5.0 -5.5' X X X " <br /> Rel'n, is ed By( ' n tufie) Printed Name: Date• Receiv ( gnature) Pri led Nam D <br /> Derek Sweatt Time:y<IS' Y� Time. <br /> Relinquished By signature) Printed Name: Date: R lved lgnature Printed N me: Date: <br /> Time: Time: <br /> Relinquished By(signature) Printed Name: Date: Received(signature) . Printed Name: Date: <br /> Time: Time: <br /> THE LABORATORY MUST PROVIDE A COPY OF THIS CHAIN-OF-CUSTODY WITH INVOICE AND RESULTS <br /> "7 <br />