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LAB(LOCATION) Q Shell Oil Products Chain Of Custody Record <br /> pG4L5CIENCE( } Please Check Appropriate BPrint Bill To Contact Name: INCIDENT# ENV SERVICES <br /> SPL f } pproprox: ac ( ) ❑CHECK Ir NO INCIDENT#APPLIES <br /> ❑ENV.SERVICES ❑MOTPIA RETALL ❑511ELL RETAIL <br /> ❑xENcn( I Michael Richardson DATE: <br /> 1 ❑MOTIVA SO&CM ®OON5LLTANT ®LUBES PO # SAP <br /> ❑TESTAMERIG ( <br /> ❑OTHER{ _ _ 7 QSHELL PIPELINE QOTHER PAGE: of <br /> fAIiPA ctnoE_ SnEADDRESS:Stree[and Cly Sw. 4�cact M. <br /> Ponder Environmental Services Inc. 25705 Patterson Pass Rd.,Trac T CA <br /> 1—1 .E6f AELA•ERASRE m Pq^..�^^`�a.00G lzmq: 1,317-291-702-2 <br /> lo�E lA. ,•-HAIR: wr+s Twr PaoJECS NO.: <br /> Benicia,CA 94510 <br /> kc,m,nnc*Iw,sw.,w oor w,onu,: Michael Richardson-CRA,Indiana is,IN mrichardscsn craworld.CC.m 085972-23A-5702 <br /> Kevin Harvey <br /> 5nE: Fix. E-4W 6: 15-Iffi-2299 <br /> 513-93-942-t75D 513.9 42.8 86 5krf�rwew craworld.eam <br /> TURNAROUND 71ME(CALENDAR DAYS): ❑RESULTS NEEDED <br /> ❑STANDARD(I4 DAY) ❑5 DAYS ❑3 DAYS ❑2 DAYS 24 HOURS ON WEEKEND REQUESTED ANALYSIS <br /> ❑LA-RWQCB REPORT FORMAT ❑UST AGENCY: <br /> SHELL CONTRACT RATE APPLIES TEMPERATURE CN RECEJPT C' <br /> SPECIAL INSTRUCTIONS OR NOTES: QSTATE REIMfsURSEMENT RATE APPLIES <br /> ❑EDD NOT NEEDED a � o <br /> 'n N <br /> ❑RECEIPT VERIVICATM14 REIxUESTED <br /> 'See Attached Sampling Instructions for Contingency Testing A w w _ o <br /> SAMPUN6 PRESERVATNE <br /> L11B f=ield Sample IdentitlCatlOnOATS TIME HCL <br /> MATRix Comr, x m m e fO Ceniainer Pio Readings <br /> No-of <br /> USE aa a <br /> �n nNos IrzsC4 r+or:E oTrveR F U f F u a ¢ or Laboratory Nat4,e <br /> ONLY <br /> RWR-5702 9 {,/ x x x x x x x x <br /> ReNryelad yr'(S' eD Receaw by:Isgnae D.m: Time: <br /> mr(sy�en..l R.cwwa M:(sq,wrtx.l 04�- Tvne: <br /> j p S'D <br /> R.6-1.d by:(S®,—i Rcceivd Dy:CSgnanuB) Dib'.I Time' <br /> (D <br /> oSr1A6 Min <br /> p <br />