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SHELL OIL COMPANY t CHAIN OF CUFJQDY RECORD Dale: <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Somal No' _C� Page Of / <br /> Silo Add(ess: 7910 Lower Sacramento Rd , Stockton <br /> Analysis Required LAB. �� <br /> WICtr: 204-7524-0808 CHECK ONE 41)1 OX ONLY CUM TUM AROUND TIME <br /> u noun <br /> Shell l:nglnoer. Phone No . (510) <br /> ouaa.nf moeeomg 9441 ❑ <br /> 75-6168 3101t%y#4lgd10n E] 9441 <br /> Dan Kirk Fax #• as hours El <br /> Consultant flame & Address S 3o1C1ou1`yfD4yoao1 ❑ 94,E <br /> Blaine Tech Services, Inc. G to dwy• �(Normo4 <br /> ulot <br /> 985 T mot Drive San Jose CA 95133 � Ck)" /Dkpotof ❑ <br /> Consultant Conlacl. Phone No : 0 01h6' ❑ <br /> Jim Keller <br /> 95-5535 (408} N A m soRlAktorn orsr= 94a2 <br /> Fax 3-8773 o Q ,Ln ° M ❑ HOTS NoflryLon <br /> p, Wafer form a 7r &"A 01/0441bk of <br /> Comments: a N v co o µ ❑ a+� 24i48 hn icy <br /> Sampled by. ; �d o 'c,- <br /> 0 0 (0 rn fa. o „1 c <br /> co cc A <br /> w � °4 O <br /> SAMPLE <br /> Print©dNamo, , II= o CONDITION/TS DESCRIPTION <br /> No of ao c cOMM N <br /> Sample ID Dale Sludge Soll Wolof Alf O O <br /> Conk <br /> LQ ? U d U a. U <br /> A/V <br /> X <br /> F� <br /> L <br /> Rolle o taro). P1tn Nary Data d Ra _ r,! natufa) P�lnlo Data <br /> Tlmo (� TI rrvo. <br /> Rall slg ura) ! rtw Data t YaC tvod n fo) PNlnlod Nome � Dofa <br /> Lam/ !�'!'�/Gr� T1m a ! ' lc �_ � L� �r✓n -- T1 mo <br /> Rollnqulshed By(s(gnoluta) hinlod Narr►o Dolo ocolvod (slgnatuta). Nlnlod Alamo, Dole: <br /> Ilmo 1 ITIme <br /> THE JABQWQRY bjUST PROVIDE A QQPY QF THIS CHAIN OF-CUSTODY WITH ItlY010E AND RESULIS <br /> �, u ra Ori MC.a w. <br />