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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date: 6/21/2004 <br /> Serial No: Pae 2 of 2 <br /> Site Address: Shell Tracy Pump Station Anal 3IS Re uired LAB: Sequoia Analytical <br /> Tracy, CA CHECK ONE(1)BOX ONLY cTiDT TURN AROUND TIME <br /> WIC#: <br /> GW Monitortng Q 4461 24 hours O <br /> Shell Engineer: Neii Stidham silo Investigation X 4441 1 48 hours Q <br /> Consultant Name &Address: Phone: 925.426.2600 Soil Classify/Disposal O 4442 15 days X (normal) <br /> CIay ton Grp Services Fax: 925.426,0106 Q 4443 other O <br /> Water Classify Disposal <br /> 6920 Koll Center Pkwy, Ste 216, Pleasanton CA 94566 Soll/Air Rem.or Sys,o&M O 4452 <br /> Consultant Contact: Mike Hurd Note:Notify Lab as soon <br /> LO In a) Water Rem.or Sys.O&M O 4453 <br /> Comments: Project# 70-04696.000 L') C) as possible of 24148 hrs <br /> 00 oD 3 N Other TAT, <br /> C) a m N z <br /> Sampled by: ° C o M } UST Agency: <br /> 0 CD 0)Printed Name: Derek Sweatt °' Co o.° � o c 2 0 <br /> 0 <br /> No. of z = = ti z E a C a E Sample Condition <br /> Sample iD Date Sludge Soil Water Air conts. Fes- N 'O a i� Fv- ¢ U IL U Fmaterial Description Comments <br /> B5 @ 2.0-2.5' 6/21/2004 X 1 X X X X X X 6"tube <br /> B5 @ 4.0-4.5' X X X " <br /> 86 @ 2.0-2.5' " " X X X „ <br /> B6 @ 7.5-8' X X X <br /> B7 @ 2.0- 2.5' X XI X " <br /> BB 2.5- 3' X X X " <br /> B9' 2.0 -2.5' X X X " <br /> B10 @ 2.5-3' X X X " <br /> B10 fl 7.5-8- HOLD <br /> Rer i h B �- . Printed Name: Date• '-sReceiv I n �atu ) P;;rt-ntiNan-le: <br /> tName: Da <br /> Derek Sweatt Time. �� Time <br /> elinquished Ignature) Printed Name: <br /> RQate: Received(signature) Date: <br /> Time` <br /> Time: <br /> Relinquished By(signature) Printed Name: Date: Received(signature) Printed Name: Date: <br /> Time: <br /> Time: <br /> THE LABORATORY MUST PROVIDE A COPY OF THIS CHAIN-OF-CUSTODY WITH INVOICE AND RESULTS <br />