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i <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date: 7Vf/1 <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No: 305 Page ( of <br /> Site Address: <br /> 3725 S Tracy Blvd Tracy ;I l f Analysis Required LAB: e u@(•, <br /> 4VIC�. I �I CHECK ONE(1)1 O ONLY CT/DI TURN AROUND TIME <br /> 204-7$a4-0901 1 C, <br /> ❑ <br /> Shell Engineer I Phone No • 510 a W uonlomg- MI 24 hour <br /> � I, <br /> Alex Perez 1 675' #-6168 �` SMolnvn!]pdba ' ❑ 4uT 46 hour Elpi <br /> 675-6172 <br /> Consultant Name & Address- ! SoRCb„{ly/DbEl 4447 <br /> Blaine Tech Services, Inca i w Tsday, tN°""°n <br /> 1680 Rogers Ave. San Jose CA 95112 ! o w cla�My/abpo,al ❑ W3 air., ❑ <br /> JConsultant Contact t phcane No.. (408) '- <br /> 573-0555 �'� N �' Sou/AkRom or Sy, <br /> Fran Thie ti w Cd O6M E] '"S21=a)( 9: 57.3--77711 a GillQ NOTE No*tab as <br /> Comments - 0 6 .. 0. ,n C]Ln wo4G1 Rom or Sy, 446] loon a,fo,slblo of <br /> co <br /> o M 74/46 his TAT <br /> Sampled by: ;` - - o o "a c N =) , <br /> 0 o ao m a U a N C UST AGENCY: <br /> Printed Name. s4wt �+ i, a a LU w ry � a c a SAMPLE <br /> L" 0 .n a a a <br /> INO or a E MATERIAL CONDITION/ <br /> Sample ID Date 5ludgel Solt Woter A[r conk � m j °Y u a V V DESCRIPTION COMMENTS <br /> 31�1- <br /> 1 ! I x <br /> ! i k <br /> E <br /> I� f <br /> Rellnqu h d B ( n re) Printed Name Dale R a gn ur P11!!Na a, Date <br /> (/l Sw1 nme f 'bQ1"__b4 ,/z <br /> Rall she (slgnaturPrinted Name Dale i Recelved(slgnature) t nted Name. Dole, <br /> I Time 11 Time <br /> al shed tly(slgnature) Printed Name Dale I Rae ed(slonalure), Printed Name Dale, =s~ 1 <br /> Time 1THE LABORAID"UILPRQVIDE A COPY OF THIS cHANEWtUSTODY-WITH INVOICE AND RESULTS <br /> + ✓✓ Tim 3 / <br /> I 1 11 1 1 v r <br />