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I <br /> SHELL 011- COMPANY CHAIN OF CUSTODY RECORD Date. (3 Ill <br /> RETAIL ENVIRONMENTAL. ENGINEERING WEST Serial No, 'l O 43 13 - P3 Page of I <br /> Sfle Address, <br /> 3725 S Tracy iIlvd, , Tracy i Analyses Required LAB: <br /> 204-7884-0901I CHECK ONE(1)1 OX ONLY] <br /> CUM TUR11AROur,oTil.IE <br /> Shell Engineer.eer. <br /> G W 6onrin <br /> 1Moq 4411 44 hour <br /> Phone No {510) #� ❑ <br /> Alex Perez 675-6168 1 Z Sr.mv.fl,fldlon ❑ 4441 aenof,rf ❑ <br /> Fax N. 675 617911 o <br /> Consu!lcTn! Name & Address i l Sancsa.f ro4 fal 444] <br /> lilaxne 'lecll 5ery ces, Tric � W P° ❑ IS days <br /> 1680 Rogers Ave San lose CA 95112 x wf�•, <br /> —_-._-_- _ s + u, clOff(r�rl4liPO 10 ❑ u43 alh.f ❑ <br /> Consultant Coniact. Phone No (1408) 2 11 011�- <br /> Fran Thie 513-0555 ( °; o+lam R•rnorSyi ❑ "S7 <br /> IEax r! <br /> 573-777111 ❑ Cd NOTE Nollly{a6ar <br /> Ln <br /> Comments k {I I a_ Wo,•f Ram or Sys ❑ tJ5) soon of P01110016 of <br /> r4 ca o►►a 24/48 his tar <br /> t'I c i � � j tI �al�I f 8o7 <br /> 4 y�, <br /> °c0l ar <br /> El <br /> cpmfed ey. o rn o �o a n c <br /> C3 UST AGENCY <br /> . <br /> O t N NPonled fame. RVL < n o <br /> SAMPLE MATERIAL a, CONDITION/ot <br /> N . cSample ID Dolo Slurgo Soll Vlalar Alo DESCRIPTION° ° 7 <br /> c > U d <br /> COMMENTS <br /> T r\W l <br /> ji <br /> 311 1 <br /> R IVTP n y(slpnaluro) Inl d N, m I Ilaf000�uAf�l Roca yo (sl�f�G),7� Prinfed Namo <br /> Q h i Tlma 1. 94 L Ile- <br /> RobIJ <br /> u s { ly r7 Prinlod Namo I Dalo Racoivod (slflnaluro) Prinlod Name Dale <br /> I I Tema I nme <br /> 1JoJJngtlJrhod By(s)(jnaluro) Prinlod JJama Doio Rocoivod(slgnaluro) Prinlod <br /> CUOMO pal4 Il'1 <br /> ,_,►911A1 ilmc , <br /> I tE19flS�$AI�6YJit LPRS}_CIDEAQnPY'l FCUSTODY WITH INVOICE A RESULTS <br /> .r r;e o.a C.we <br />