Laserfiche WebLink
LAS(LOCATION) Shell Oil Products Chain Of Custody Record <br /> ❑p CALSCIENCE( - - Please Check Appropriate Box: Print Bill To Contact Name: INCIDENT ENV SERVICES <br /> []SPL( I ( � CHECK IF NO INCIDENT 71 APPLIES <br /> ❑ENV.SERVICES ❑MOTMARETAIL ❑SHELL RETAIL Michael RichardsonDATE: <br /> E-1XeNCA[_. I - - <br /> ❑TTSTAMERICA ❑MOTTVASD&CM ❑CONSULTANT D Wt+Es PO # SAP# <br /> ❑OTHER[ I '❑SHELL PIPELINE ❑OTHER PAGt=" of <br /> _. ,1W WE ADDRESS:street Ina City sm. owa+t wo,: <br /> Ponder Environmental Services Inc. 25705 Patterson Pass Rd.,Tracy, CA <br /> DORFSS. FDF OEWERABIE mPa�.��N.nnya kzatieve- F317—_291-7022 <br /> G6Benicia,CA 94510Michael Richardson-CRA,Indiana Dlis,IN mrichardsar crawarld.corn 085972-23A-5702 <br /> uuaER RwFP:L rPwa- <br /> 15IM-2299 <br /> Kevin Harvey <br /> IELERBN€' FAIf'. E4WL <br /> 515-942-4750 613.942.8585 krharveY(a"7craworld.com <br /> TURNAROUND TIM£(CALENDAR DAYS)' <br /> STANDARD(14 DAY) D 5 DAYS 3 DAYS pN WEEEKEKE ND <br /> LJ RESULTS NEE <br /> ❑ E] ❑2 DAYS v❑29 HOURS REQUESTED ANALYSIS <br /> ❑LA-RWQCB REPORT FORMAT Cl UST AGENCY: <br /> ❑SHELL CONTRACT RATE APPLIES TEMPERATURE ON RECE3PT C° <br /> SPECIAL INSTRUCTIONS OR NOTES <br /> ❑STATE REIMBURSEMENT RATE APPLIES <br /> ❑EDD NOT NEEDED d <br /> to N m <br /> ❑RECEIPT VERIFICATION REQUESTED Q '0 <br /> *See Attached Sampling Instructions for Contingency Testing A w <br /> SAM UNG PRESERVA,mE p g EI Fa `ro 'py <br /> c o U) y <br /> e.a <br /> _ Jyz Field Sample Identification d Cbntainer PID Reading <br /> s <br /> NO'oF <br /> use DATE TIME <br /> -ONLYTHCLHjH2SC4 OTHER U fa o. or Laboratory Notes <br /> !- RWR-5702 Z9 `l3 x 1( x x x z x x <br /> R«wId by: Tmd; <br /> M-(Sq,v ) R.-40(Signaare) 6eb: T_ <br /> Rslnyucned by[Siervs6i�ei <br /> R--d!by:(Sipe ) Drte: T <br /> CD <br /> 95r2AE Re�iebn fi <br /> 0 <br /> CJD <br />