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CHAIN OF CUST DY RE ORD Dal°� �� r' <br /> SHELL OIL COMPANY sorla! No: DB�� / Page ( o(, <br /> f RE�'A11. ENVIRONMENTAL ENGINEERING - WEST Y ��4 <br /> LAB. <br /> 511e Address: 341 East Main St. Ripon, CA Analysis Required <br /> Cli[Clf Olt[(11 lox ONLY Cr/Dr IURN AIOVND lila[ <br /> V4lCif: f ( east <br /> 204-6522-0307 rsw. ►�°^�°''"� z4houn ❑ <br /> Shell Engineer: Phone No.: (510) SA.lnv.rllpolon ❑ 4141 41 h-u" ❑ <br /> Karen Petryna Eax2 6-97821 O Sol CloerltYID00ral (23 U42 tidays �rlr.r .A <br /> Consullanl Name & Address. water <br /> X Clwt4lDlaporal ❑ Ri1] Other ❑ <br /> O ti <br /> Phone No.: (408) = 'y co totflAlrt;.ntorfyr ❑ 11s7 <br /> Consullanl Conlacl: Fa7t -0 a A 'u °'"�" Nar[r ll.lYytapor <br /> Francis Thi a in wuFjor I rrL or 3r roan or Iou1W.al <br /> (J Q c4i — 0•M ❑ 4JS> 24111 hrr TAI I j <br /> N1� u00 <br /> Comments. }� 0 0 <br /> U ❑ <br /> a z aih.r <br /> J r 0 a � C <br /> Sampled by: ��� r� o m or a o_ u >- <br /> N uST AGENCY: <br /> ca `° "6 a T "o SAMPLE <br /> 4 U p <br /> Printed Name: � �f`"( G'�`� a 'a CL MATERIAL�, ai $ CONDITION/ <br /> x �, 0 A m o DESCRIPTION COMMENTS <br /> Sample ID Dale Sludge Soil Wolof All ctonisl rr'". m > U d U U <br /> �r <br /> T <br /> Dula /y <br /> RocoIV4 l�yiul� r- Pl n sad al <br /> Roiln11 `hod 8y (sign Nin Nam `� / D no / <br /> Gr V r lan <br /> Ptnlod Name Date RocoNad{ flnaluro Pnlad - ld <br /> 4 qud (sl n <br /> L <br /> Ttmolo _ Dale: <br /> pI RocotvucJ I I a) Rlnlod Narita <br /> Rallnqulshed By(49nofura) P[Inlad Narita Qr)rrw <br /> lima t <br /> }A }! <br /> i <br />