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�,,/ LAB(LOCATION) 4 Shell Oil Products Chain Of Custody Record <br /> 1�.G1.SRENCEI 1 .. ... .. <br /> S .: Fleue Oheek Appia riafe Box: print BNI To:Coidacf Name- :WCIGENT#(ENV:BL�RVlC6S)::_p <br /> p SPL( ) .. ._ .. .. ...... .... ... CHECK IF NO INCIDENT#APPLIES <br /> p ENV.SERVICES p MOmA RfTAIL p SMELL RETAIL p zExcO Aubrey Cool-241729 <br /> 3 0 0 0 0 2 DATE. tl•3•<c� <br /> U TEST AMERRA ( p MpmA aDRCM ®CONSULTANT ❑weEs pp 1j SAP# <br /> ❑OTXE0. ( 1 p SHELL PIPELINE E3 OTHER PAGE: of <br /> Slaft"Tech. wcoo� arts AODXesa:mm.nacM fink wnono <br /> BBlne TtNSL Servlas 3516 Na Drive,StocktonG <br /> "°°"e" Eo,oetNEn,a`rok.n.6.n..mdnulx,6eq wenn G' T0607700178 <br /> 1680 Roge Avenue,son Jose,CA 95111 coNMAT.n.rwuEcrno <br /> .wEc.canracr M..mrt.ro.w..`I Annl Kn nl <br /> David Webb-Co Sholl.ab.Blllln s.„L6aa.rvua m•m 51P416J335 snelteA' c:mwdd.com en�la03- <br /> pY OBcnwodd.com Mt <br /> m,RR„wE x ,a WUfEtKv1.Y <br /> 9164115-2973 ext 101 �a 916-935Q891 Jn bWblainetedhx,,• t 6A <br /> i <br /> K= <br /> LIME(CALENDA0.DAV51: 6y { 6W I( of <br /> STANDARD f11 DAY) p 5 DAYS p 3 DAYS p RESULTS NEEDED <br /> p I DAYS p IN HDuss CHWEEKEND REQUESTED ANALYSIS <br /> U LA-RWQCB REFORT HOMAT p LSTAGENCY: <br /> SPECIAL INSTRUCTIONS OR NOTES: paNELLCDHTRAR RATE APPUEs TEMPERATURE ON RECEIPT_ � D <br /> p STATE REIMBURSEMENT RATE APRIES m G <br /> Detection amXs msthat kaet TPH.G.TFH-0.Ekanq•SOPRti.Nema,wkIDOPPD 13 EDD NOT NEEDED <br /> Y <br /> ®RECEIFr VERIRCAUON REQUESTED <br /> BTEX.MTBE.DPf,ME.TANE•Sppp Xykne•.Sppk DisaoNeN leaN 10.0PPti • �nnn m m m m so 9 <br /> ::::;::: SAMPLING FXlEEryATNE � � � c � m � 3 <br /> d e F F A <br /> 3:; Field Sample Identification MAT= xo.of W m m X E <br /> .4, GATE TIME COf^ F =_p LL m. m COMaIner PID Readln9s <br /> je'.Y: MCL Nrvoa Hlvoa NONE .1.. F of rt 3: F IFY W •Jc G or laGOMary Non6 <br /> r w_ 3 s <br /> 1 *Au,- IG 1- 132. <br /> 12, <br /> .:RanR'wM°q':1°W'^1 R...MaeYR4•xurs) <br /> Dr.: nna: <br /> R.N9M y R.e.MJe'ISM1,uW.I �� /`-�-�Q (/E•/ <br /> nmr <br /> L' aasMc ey nl6aNn1 <br /> oMe: TFn.: <br /> CD <br /> O <br /> OSIIN6 RNWbn �k <br /> W <br /> A <br />