Laserfiche WebLink
11 <br /> [f� <br /> !1 <br /> f <br /> SHELL OIL COMPANY I CHAIN OF CUSTODY R COD Date: %/7.-1 <br /> RETAIL ENVIRONMENTAL ENGINEERING,,- WEST Serial No: z -T1- Page !ot ! <br /> Site Address• <br /> 3725 S. Tracy Blvd.,, Tracy ! Analysis Required F Wow <br /> Wlc#: <br /> 204"7884-0901 I HCCK ONE(1)box ONLY CUDT TURN AROUND TIM[ <br /> Shell Engineer: Alex Perez Phone No • 510) 1 T <br /> 0 cw MonRorr�9 7® mit ❑ <br /> I 24 Aoun <br /> 675-616$ � � ss•1nr•�1lpdbn ❑ 444t <br /> FaX #: 43 hour. <br /> Consultant Name &Address: � - � <br /> Blaine Tech Services, Inc. S SolCbr,W/Dlrporar ❑ 4442 <br /> 1680 Rogers Ave. San Jose CA 95] 12 °O 16dayr (Narnwo <br /> wal.r <br /> Consultant Contact: P One No.. -• w Q C�rW/Dkpo3ar ❑ 4443 Olh•r <br /> h (408) <br /> 573-0555 1 N N N `° Sop/AkR•morsyr <br /> Fran Thie Fax �• 573-7771 �I n °a Cd OhM ❑ 44si <br /> Comments: c� .. NOSE Nonrylab a <br /> w o Weer Rem or syr roan as f'o�rlel•ar <br /> I! Q U C3 co O h M" 53 24/43 ha TAT <br /> ❑ <br /> Sampled by: — ,1s I 2 o O zz VF <br /> Z Olh•r i <br /> p a O C: \ N <br /> O1 `� a UST AGENCY: SS <br /> 4 Printed Name: IA i I" To I o r <br /> :D v o 0i <br /> SAMPLE <br /> ;Fle ID Dale Sludgo Soil Wator Air No ox = MATERIAL <br /> conts DESCRIPTION CONDITION/UU COMMENTS <br /> jjj <br /> V17 <br /> k � <br /> 543 <br /> 17 <br /> x <br /> t <br /> 4iqWsh <br /> w(slonaturo) <br /> Printed Name Dote Racalvod nat r ) <br /> ib d!/ Printed Nam �� Date- <br /> -11 r� p <br /> Pr nled Namo i{ acolvo (signaturo) d tJTimTtm Do e <br /> Prinlod Noma EDole I Time <br /> Received(signal nalPrinled Name. <br /> Date `► <br /> IITl ma I <br /> i _ AW <br />