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LAB(LOCATION) 4 Shell Oil Products Chain Of Custody Record <br /> m utsana( I <br /> _ ::. p10Eise�3beCk,A rYa48851G ' 77,7PridR$�IE To Contact Nar�� INCIDENT#.:(ENV SERVICE=) <:polFa lr NO lxnoENraAVPltEs <br /> E3 SR( I p nIV.SF0.mCE5 ❑MO A RETAIL p SHELL 0.aAIl <br /> E3 xwcO I I Jeff Gaarder•060222 3F 00 7 8 0 DATE: LZ•Z3-LO <br /> p NOMA SexCN ®CONSULTANT 13 WnPS L <br /> Cl TEST ANEKCA t I 'PQ`# SAP# <br /> PAGE: 3 of <br /> ❑OTHE0.( I Cl MILLnPFUNE p OTHER <br /> RxJ WYVMrt lGO2Q 9iEAOGPEY,9nw.N Uh M. Deni owo_ <br /> Blaine Tech ServicesSan Joaquin Valley Pipe line Der el E,Mountain Home CA SLO607772408 <br /> y euEDEuveN.aa TDw.,..cea.e.meLwew rune ro: sxTuorRwecreo_ <br /> 1680 ROBme Avanue,San Jose,CA 95112 <br /> PwrtamNrm oe.xw>rae,r,ue JaROeaedeT,CRA,Sonoma 707.933.2362 sonomaed emwodtic m eTsx Q Z;- <br /> David Webb•Copy Sheli.Lab.Billinp(olcmworld.com anaEma•ae 1.RIA1As�0@F4" 7 <br /> TfiBMO'@ EYML � b E v. <br /> 916525-2913 ext 102 876-923-2891 dwebb(olblainelech.eom ;" N ^la o .fl.,t+ <br /> FT HNARWNO ME(CALENDAR DAYS): pRESULTS NEEDED <br /> STANDARD(A DAY) p s Daus p 3 DAYS p x omT p 24 Houas ON WEE D REQUESTED ANALYSIS <br /> IA-RWQC9 REPORT TORNAT ❑ IY:T AGENCt: TEMPERATURE ON RECEIPT <br /> D SMELL CONTuva MTE APnIES C <br /> SPECIAL INSTRUCTIONS OR NOTES: p STATE REIN UR5EMENT RATE APPLIES m <br /> 1. Need CRA Equla EDO p EDD Not NEEDED H S <br /> m ? o <br /> Submit Lab Report lojgaanler(mCrzwod.com, IaRECBPT VEWFlCATION REQUESTED <br /> T ameae mnce@aawodd.mm,Iodh@mvIw1d.mm,and David Webb <br /> - I0. I SAMPLING PRFSERVA7e. 2 m <br /> to y .d. <br /> Y w Comainw PlD Readings <br /> Field Sample Identification NArmx MNT. x = w C.IN <br /> NLL HIe9 N]SOS NON <br /> _ DATE TIME d d F N O oT Lnboratory Nalm <br /> E aINFR <br /> X <br /> s' <br /> tE.. <br /> .• OI x I I X X <br /> C,0) 4 <br /> IF uj) X <br /> Cco \ <br /> Y. x x <br /> we0 C X XXA <br /> .[ <br /> x <br /> R•wc,wi.aW RR'va,.q n.sma M:(sim•wJ <br /> W. rm.: <br /> RKyinNnaWlew�v R.,..a d tawFI--) J D.o: rm.: <br /> :h3w,v.7 � L <br /> KYDe6R.�vm o <br /> rr <br /> A <br />