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LAB(LOCATION) 4 Shell Oil Products Chain Of Custody Record <br /> _ muLsnENCE( 1 <br /> EI SFI ( ' Please C}3eekA ra hate 9aX: Prirtt9'rliTo Can{aet Name: INCIDENT*,(ENV SERVICE p CHECK IF NO INCIDENT s ACPUES <br /> ❑x[xcD( C]ENV.SERVICES ❑NOMA RETAIL ❑SHEU REWL Jeff Gaarder-06022r 3 0 ';�I 7 8 O DATE X2.-II-to0 TESTAMERICa t ❑MomAsoecM m mxsuLrnxr p weEs - <br /> PO # SAP# u <br /> ❑OTHER ( ( p 98ELL PIPELINE p OTHER PAGE LI of 4 <br /> x....wm...... wA mos are AooREa:sr.s.mcM axa ansa ow: <br /> Blaine Tech Services <br /> San Joaquin VallaY Plpollne Devel E,Mountain No— cA SLO607772408 <br /> EOi CEIhERAaFIa M+n..evmay.ama Lwmw MG.E rp: ExpL. CGrS.AIwMlva6lEe(ep: <br /> 1680 Ropers Avenue,Sen Jose,CA 95112 <br /> Jeff Gearder,CPA,Sonoma 787533.2362 sonomae,1 Oawotld com a 7 <br /> w� David Webb-Copy Shell.Lab.Billin0@cmwodtl.wm �nNNeaalmmv <br /> - TeErvwe v� {Aau5E8NLY=,+ - <br /> 916525.2913ezt102 916525-2891 Eu dwebb(Ablainelech com <br /> T RNAROUNDTIME(CAtA'DARDAYS): RESULTS NEEDED L <br /> STANDARD(19 DAY) ❑5 DAYS p B DAYS ❑2 DAv p 24 HOURS ON wEEKENO REQUESTED ANALYSIS <br /> ❑ IA-RWQCB REPORT FORMAT ❑ UST AGENCY: <br /> TEMPERATURE ON RECEIPT <br /> SPECIAL INSTRUCTIONS OR NOTES: 0 SHEU CONTRACT RATE APPLIES Ca <br /> p STATE REIMBURSEMENT RATE APPLIES m <br /> 1. Need CRA Equls EDD p EDD NOT NEEDED 'n <br /> In <br /> Submit Lab Report t019aarder@l wod.ccm, AVE-.-I.NQUESTED m b m <br /> -g aro.."anoo@Crawodd.com,Iorth@craworld.wm,and David Webba e w a o <br /> SAMPLINGTIVE 2 <br /> lie Field Sample Identification No.OF y 0 x `, <br /> U 4_ DATE TIME <br /> cow. _ = W 6 .�- Conlznw PD Readings <br /> ONAY' NONE OT1F]t mZ14 CCU 1 -t 14 xyx sI` !� <br /> c. <br /> ae°'nna°°r Isauv4 RwMa B/:Iapulval <br /> OM.. r.: <br /> a.r+mnLaar:IaP.x,..l -Pd <br /> aeMa M(s�nval <br /> R .Isgmval �y `C \yV 1 wuMtll /L/ / / �O <br /> Aia: Pma: <br /> 2 Z <br /> RJl/O6 gaWIm <br /> ( <br /> M� <br /> LD <br />