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i <br /> SHELL OIL COMPANY <br /> CHAIN OF CUS ODY RE <br /> CORD aQ1e� � <br /> r RETAIL ENVIRONMENTAL ENGINEERING - WEST Sorial No: D jC7 [ Page C' of <br /> Sll©Address; <br /> 4445 Pershing Ave. , Stockton, CA Analysis equi-Ed . OS `� LA : <br /> 4Ul <br /> 204-7524-2408 ( -- IRCK Otrl I1=lox 014ty cTlDr TURN A90"NO nME <br /> b <br /> Shell Engineer: Phone No.: (510) G.W. IAonloring 4141 24 ho. ❑ <br /> Alex Perez 675--6168 <br /> Fax 4' 675-6172 ilrrnvrsNdbn ❑ 1141 4lhow ❑ <br /> Consultant Na[e & Aodress: o I <br /> Blaine Tec-1 Services, inc. �j $ol ClassUy/Olspa.al E) 441] lb dap ®IHormal) <br /> 1680 Rogers Ave. , San Jose, CA 95112 w <br /> warm <br /> Consullanl Contact: O X G1asrRy/pbporol Q 4413 Olhrr ❑ <br /> Phone No.: (408) <br /> Fran Th.ie 573-0555 °' ( sarvx4Ron%ofSys. <br /> Fax 1�: 3-7771 0" ❑ Us2 <br /> Comments: C9 p d Ln rrorr: lrou11 <br /> a- Wolrr Rom.os syl. goon as post lbl.or' <br /> 0 p <br /> C,4 `.ss, O a r4 ❑ 41 S] 2114&his. 111�r �t l <br /> } 2 2 _ l <br /> Sampled by: o u o q Z Oih•r ❑ E <br /> C AL1 c6,,,,�- � � t.r � N "' (D � <br /> C3 C5 coO1 LIST AGENCY: <br /> Printr3d Name: ¢ Q a ° <br /> EL �+ c o SAMPLE <br /> "� �"� ° a �' SAMPLE <br /> S4rriple ID Dao sludS7o' Boll wa�or Afr ttj L4 x 0 CONI]1TION/ <br /> conls` 4: �, j ;� U a u DESCRIPTION <br /> _ _ u u COMMENTS <br /> PW3 3 - <br /> 3 <br /> Rel q y(slpnaIurn): P13 <br /> rinlod�ama: Delo;" R tel a <br /> _ ;z-,n-gj (ilgnolulo): Prl to amo: <br /> u�r DaleS-Zy-•s <br /> Tlme•2; <br /> Ron 1pnmural• Prr. ad p c Da1o: o �Q tct4�y r} nmo: Z:35 <br /> RrYVAV l,, ! (s onaluro): Prinlod Namra: pyo. <br /> `� s V Tlmo: Flme <br /> R nq d f (slonaluro): Prinlod Namo: Doro: Ro Nod sl naluro <br /> { o ): Printed Name.l� Data: -r.- i <br /> Tlmo: "Mo:C(o`y <br /> I`ldA9BAISZB�C�LPEQY1Rl~dS�4E'1L4�1I13� t�:.2F-�.� rant tivll}��Y41�11Z.E ' <br /> l+.1 G ON.! u.ear <br />