Laserfiche WebLink
LAB(LOCATION) Q Shell Oil Products Chain Of Custody Record <br /> �GLumICE( ' :PleaseCheck A re iate Box: >- -Print 801,T45:Centact Name::-:- -:- INCIDENT#(ENV:SERVICES <br /> 0m, <br /> �( ) .. \ : O CHECK 6 NO IpNCIDENT Y APPLSES <br /> ❑ENV.SERVICES ❑MO ARETAIL ❑SNEA RETAIL Aubre Cool -241729 3 0 0 O 0 2 DATE: 6 o <br /> ❑MOO( j <br /> ❑ .A s <br /> MNdM L <br /> Q CONSULTANT ❑ UBES <br /> ❑TEsraMERlu ( ) SAP# : S <br /> DTHER ( I ❑SHELL PIPEWIE ❑DRIER PAGE: S of <br /> aWrtnc[OYvwYc lm cone SITE ADDFESS:SkevleM Clry SVb owip u0.. <br /> Blaine Tech Services 3515 Na Drive,Stockton CA 70607700176 <br /> apbRea oewee.xe To a..e.mme.�..wn.mmm: .eao_ u.. .L TMwsCT.p_ <br /> 1680 Rogers Avenue,San Jose,CA 95112 A o»o sh mu l�g <br /> PawRncn+r.n M��..n.vora...�n: Anni Kraml 510120x335 sheetlf crawnntl.com eTsa <br /> David Webb-Copy Shell.Lab.Billing@craworld.com .Lssxwes rv+n. tA8'3/sSONLY _ <br /> 918525-2913 ext 102 916-925-2891 tivrebbRblainetech com 3 (���fjj,Y„, t� k <br /> 1 <br /> TURNMWND LIME(GALENDM WYS)'. ❑RESULTS NEEDED <br /> Pr5DkMAftD(14 DAY) ❑SNA ❑B DAYS ❑I Dan ❑24 MIXMS ON WEEKEND REQUESTED ANALYSIS <br /> ❑ LA.-RWQCB REPORT FORMAT ❑ usrA MCT: <br /> TEMPERATURE ON RECEIPT <br /> ❑SHEEL CONTRACT RATE APPLIES n C= <br /> SPECIAL INSTRUCTIONS OR NOTES: io <br /> ❑STATE REIMBURSEMEM PATE APPDES <br /> w m <br /> Oelasbn limb muslbat NasI:TPHG.TPM-0.EMeirok50ppb.Mnbenol=100ppb El MD NOT NEEDED ro <br /> m m <br /> O RECEIPT VEIUNGTIIXI REQUESTED <br /> mEX MTBE,RIPE.ETRE.TAME-.•ppb XYI 5ppl,0bsolveE bat l O.OppO m g o $ o m m o e ry 0 m J <br /> SAMPLING PRESERvanv¢ a x q m m p 0 m <br /> _Field Sample Identification MATMX NO.OF w x a w m w w U ` n m Cartailrer PID Readin <br /> P DATE TIME cobr. xa i F O m C wa to a m m 9s <br /> NO. NNOB IQSOA NONE OTHER br Laboratory Notes <br /> ......... TT <br /> RafnWNM by:lspuw=I R d.ea ey:(spnaw,el one <br /> Rf .( N.u.w ,uWen Da[! Time <br /> R (spmWn R .w,(svmN'e) I wle: nme: <br /> V <br /> W <br />