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SHELL OIL COMPANY I II CHAIN OF CUSTODY RECORD Pala. "ftri <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial Na: �� ��L ppge Z al .Z <br /> Silo Address. 141 N. E1 Dorado, Stockton, CA it <br /> Analysis Required LAB: ---s, ?_ <br /> W1CN• <br /> 204-7524-1509 CHECK ONE(l)11OX ONLY CT/PT TURN AROUND TIME <br /> I I <br /> Snell Engineer: ow 1400(ming In "it 9 P <br /> h Nol• (510) a4 nom. ❑ <br /> Alex Perez 7A-6615-6172 r sM.lnv.illpdbl ❑ u41 44 noun <br /> C sullanfa�ne & Address• O ❑ <br /> acne ec i Sery ceS, Inc. loll Cra"rry/D4I raI ❑ 4447 <br /> „o I lcdnys @um <br /> lc� an <br /> 1680 Rogers Ave. , San Jose CA 95112 Xwor.r Ill <br /> Consultant Contact. ) r, oCrasiVy/04po�nl ;+� oln., ❑Fran Thie D51e <br /> -0555 (408 N N N m lore/AkR.moiSyi <br /> x t-_57,3-777 1 0 O 00 O A M ❑ "S20 Q II HD[E H014 tab of <br /> Comm©n1S, p w OWolet l){R.m or aye ❑ 4453 loon ai►oulCr.of <br /> 24/4i hi! TAF <br /> O O p <br /> v] N <br /> o U d ate. � Z Olh�r <br /> Sampled by. �.. to (N n a ee <br /> f O CL 0 <br /> to o N o . UST AGENCY: <br /> Printed Name Mi4r l3ll UA 0) - C " 2 C F "o SAMPLE <br /> No or �� c a MATESZIAL <br /> u CONDITION/ <br /> Sample ID Dolo Sludgl, soil Wolo( Ali w a �, a o v o DESCRIPTION <br /> can r m y u a U a. COMMENTS <br /> II <br /> i Ti iE <br /> Rolinqulsho By(sl�furo)• PIMIA gm I Doll)' N /G f- Rocolva finalyrp? P(Inlcd No �' / Dolo <br /> (( IIFF-�C11 t Tlm(, /01 <br /> 2ollnq Prinlod Narno, DaIo" o olvad (sl alum PrintO Na q <br /> �L �-�-- �F Q� ) q r Date �IIGh, <br /> Tlmo (Jjm( JAQA42btu, cm, Tlmo 11 <br /> Roll qulshed By(slpnatur0) Prinlod Nomo I Dplo' Rocoty d (sf0 alum) Printod Name. I 0010 _ <br /> Tlma` Tlmo <br /> F CU5100Y WITH INVOICE AtIQ BE5ULIJII <br /> II19 Os Oh N C= <br />