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LAS(LOCATION) Q Shell Oil Products Chain Of Custody Record <br /> ❑cAhS=ENIF t Please Check Appropriate Box: Print Bill To Contact Name: INCIDENT# ENV SERVICES) ❑o+tnc <br /> ❑sPL r , ( ff Mo/nr¢DEr(i euvtlE.s <br /> Q EV.SElrn�s ❑MornA RETAtL ❑SHEU.RErAZL I Larry Silva 241359 9 1 8 1 9 1 9 6 1 1 1 8 1 3 DATE: Y Z " Y--j <br /> ❑%EKCO rM- <br /> ❑MOTtvA SbecD CONS LTnNr ❑LUets PO # SAP# <br /> Q TEST AM�ICA r en4yE , <br /> ❑SHttl PIDELQiE C3 OTHER <br /> of <br /> ❑07MER l 4 0 4 0 3 4 9 7 177 <br /> �,,,, Loccooa SITEADDREss.SVW.ed city State D�oe•L iDNo_ <br /> Blaine Tech Services BTSS 4315 Waterloo Rd.,Stockton ICA 70607700400 <br /> �a e>rwwureu:TOIN�n.O„am.dra laa.,M M1NN�.ND- e+wy tOt4LLTMs hr0.iCT ND. <br /> 1680 Rogers Avenue,San Jose <br /> 680 coNrncre"�er,orwfofRw�m) Felicia Ballard CRA,Sonoma 707.9354850 oma f craworld m 1=y l7 <br /> Lorin King .r,iPLenN".�ciallfn,e LABUSEONLY <br /> TSL94 d`S. fAC <br /> 310-885-4455 x 108 310.637.5802 Ikmar®blainetech,cont -ly'1 }4 <br /> fWARDurvO TIME(CALENDAR DAYSr Q REMYS NEDED REQUESTED ANALYSIS <br /> STANDARD(14 DAY) ❑S DAYS ❑3 DAYS ❑2 DAYS ❑24 HOURS ON WEEKEND <br /> ❑LA-RWQ®REPORT FORMAT Q USTAGEWr TEMPElRATVRE ON RECEIPT C <br /> SPECIAL INSTRUCTIONS OR NOTES: OSKU wNtRAcrRATE APPLIES <br /> 1) Please upload the"CRA EQuIS 4-file EDD"to the CRA Websde ❑STATE RaMeuRSEMEv1 m d Z <br /> (htlp:J/aalabeddupload.crawarld com/equisldefaUlLaspx)and/or send it to the Shell-US- ❑EDD NOT NEEDED <br /> LabDataManagemeM@CRAwond.com email folder 2)Please indicate that you have f]REGFJY V URLATION REQUESTED <br /> uploaded the EDD by including"EDD Uploaded to CRA website"in the body of the email o d <br /> sk <br /> used to deliver the final PDF report to the Shell-US-LabDalaManagamem(�CRAwodd.com $ <br /> email folder o 3 m a m <br /> Matrix Codes-WG(groundwater),WS(suface e _ $ 8 <br /> Email invoice and Copy final report to SheU.Lab Billing@crav+ond corn.TPHd water)SVP(drfnwng water sourcs),W(Trtp or7emp o r I•� l W N N J <br /> report m limit=c50 V n for GW San Joaquin Reporting Limits Blank) m <br /> Field Sample Identification SAMPLING PRESERVATIVE pID $ o °± V 122 <br /> w o c v Q <br /> (QNo.ofC m <br /> (D W PRR1ECT Nt1M8ER DATE SAMPLER h,�LLlD TIME ODNT. = x S >< x x kw > o ID < V Container PID Readings <br /> (� wa (A4MDDYY• JNrnALS yy yy yy go )" P ` {�.. or Labertory Note <br /> (n pNLy 1K/L MHOS t�0a NONE 7THFR F F F ID ID ID ID W ILL m W W f O <br /> GW jgdr7 w ➢ R 3 x <br /> W <br /> h <br /> 440-66282 Chain of Custody <br /> AMpd.n,d h:(stn R,ON+O bf Isyn,er.) D,lk Time <br /> Tw­ <br /> J 3 <br /> R w w tsbn.e.q <br /> =LLO <br /> DLRAe Rw <br /> N TESL <br />