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I I i <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST conal No '0%-Q.o Tt"—t t Page -N-af <br /> Silo Address: <br /> 4445 Pershing Ave. , Stockton, CA Analysis Required LAB: <br /> WICK: <br /> 204-7524-2408 CHECK ONE(T)1O ONLY CT/Dr TURN AROUND RME <br /> Shell Engineer. Phone No ' (510) I G W Monllar j; "" 24 now. I❑ <br /> Alex Perez 675-6168 �i i <br /> Fax 4' 675-6172 I S1alnrarlTpdbn ❑ a4e1 41how, I❑ <br /> Consullanl Name & Aodress ! �� o <br /> Blame Tec Services, Inc. , <br /> �, Soll Ckwiry/Dbporal ❑ "44 16 days ,®rNorman <br /> 1680; Rogers Ave. , San Jose, CA 95112 i� X Worar ' <br /> Consultant Contact. Phone No (408) 1 V w "°"' �/°l`p°`°` ❑ "�' °ihar a❑ <br /> i Fran Thie 573-0555 v � co Sol[/Air Ram or Syr t <br /> FOX 73-7771 0 47 OAM EJ "S2 <br /> Q .n NOTE Nollly lob as <br /> Comments. CL Wolar Rerm or Syr eoon as Possible of r <br /> {y b 0 `r to o t M ❑ I153 21/4A his TAT <br /> X U <br /> t! 0- Z Olhar ❑ r <br /> Sampldd by. o c <br /> N (V y <br /> a co �' _ UST AGENCY: <br /> Printed Name, c � o <br /> ° .o CL <br /> SAMPLE <br /> W E :RIA <br /> Sample ID Dato Sludge Solt Water Alf No or U CONDITION/ <br /> m 0 O 2 DESCRIPTIONGoers j <br /> U a U COMMENTS <br /> -2!r <br /> r 1 <br /> 111 <br /> Relinquished By(signature). Prinlod Name Do Racal*d(sl nal Prinled pale <br /> �. t�� me � - <br /> 'Rollnq od sl r Prinlod Name Dole ac Nod(signature) Printed Noma polo <br /> lime Time <br /> Rell quashed By(signature) Primed Name Dale Rocolvod(sIgnolur ) Printed Noma /n� r Dale 2 <br /> llm° ( it fV���'L( TTmo 2 r <br /> , <br />