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LAB(LOCATION) 4 Shell Oil Products Chain Of Custody Record <br /> pii'rit:Bill;7ti:C{lntaO Name::;::::;:; :fNCIDENT_#(ENtFSERVtCE51::p <br /> ❑ENV.SERVICE ❑NOnVA REFAA ❑SHEll REigtl ........ ... .. LHLLi(IF NO INODEM t APPLIES <br /> ❑xeNcO( Aubrey Cool 241729 <br /> NORVA 505CN Q+ CONSULTANT ❑LOa 3 0 0 0 0 2 DATE: <br /> MIT" 7^II <br /> Q TEST ERIG (piymE) .. .I pa$ <br /> ❑OTHER f t ❑SHELL PIPELNE ❑OTHER ... .. .>. ........ ............�.-::�:-: PAGE: of <br /> M.aNa cavum •va cane: 4 0 - I 0 3 1 9 7 3 <br /> MIEADDaeaS:Meeelsloe moeuwro: <br /> seine Tech Services •.d CRY <br /> BTSS 3515 Na Drive Stockton <br /> S80R eP•PorveP.eLF ro w.e..Cam.,..e•+..e.Nu. WP.E»P.: CA 70507700179 <br /> 880 Rogers Avenue,San Jose,CA w"w cT.a.: <br /> Orin King Brenda <br /> w..•mr.wex.ew•x Brenda Carter CRA Emeryville 1109o� <br /> Orin King va.mx. 51042!1-134J sheiledl crenortd.com <br /> "•FIn IR•V: <br /> J100-. <br /> �FIEr•oP"x c+F•l: Lab Uhf ONLY <br /> 999 x 108 310-617-5902 Iklnat6lDlainetech com <br /> TIME <br /> TURNAROUND TIME(CAtfNOM MVs): <br /> STANDARD(3A DAY) ❑5 DAYS 0 1 DAYS ❑RESULTS NEEDED <br /> 2 DAPS 2•X410.5 ON WEEKEND REQUESTED ANALYSIS <br /> A-RWQO8 REPORT WR T ❑ USTAGENM <br /> n TEMPERATURE ON RECEIPT <br /> LL CCPIriUR RATE ApPItE$ £ O <br /> SPECIAL INSTRUCTIONS OR NOTES: ❑SHEc R) d me Ce <br /> C3 STATE REIMMIRSFMFM Mn APPLIES m <br /> Email invoice and copy If final report to SheE.Lab.Billing@cramdd.com ❑EDD NOT H®m • ^ w ml m /'y �\� <br /> y a e 2 m o vl <br /> Q RecElm weaTc%n REDUEsrED o C n F'u 3 <br /> BTE%,MTBE,DIPE.ETRETAME, =0.5 Ppb Dissolved Lead=10.0 ppb E. <br /> 6 W n. o W W J-qa <br /> SAMPLING PaF3x ET <br /> ERVAnI E Cm F f O F a c 5E b m <br /> Field Sample Identification MArwx No.of m _ _ _ o <br /> iiiw' DATE TIME <br /> Cow. x �5 rc N ui ) m $ O n <br /> PNLY: t i t RV K LD J f — c'E r m <br /> NU NN03 IosaF NoxE OTHER 5 Q ` Container PID Readln9s <br /> mw—;L <br /> 9�i1 a%" `- k m ym m m� LL yEj w p 15 orlobo tmy Notes <br /> ^Sr- 7-II �eYS X 5 X x <br /> M w N P741 0.50 '1( X S K 1C <br /> M w- 6 9-77-11 13P k h <br /> .vl -y 133D X x <br /> MW40 -7aJ 15 X X S x n X <br /> My-11 9811 �8g5 X X $ I I <br /> k X <br /> IWnwIeM W:ISynnu�e Rsyvee KlsPnei��el <br /> I <br /> RearedM14- / Tma: (/� /�M m EM i .1 — I 9—I 16oa <br /> e Dne: Tma <br /> amaA.INe y: s •I -.z- Roi.0 br,5an•u,., 9-2--l� ��,3—�j <br /> D... Dm. <br /> 45lIlCb Rgiyon <br />