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SHELL OIL COMPANY _ CHAIN OF CU TODY RE ORD <br /> RETAIL ENVIRONMENTAL ENGINEERING WEST Serial No - page � of <br /> Silo Address: <br /> '/' 3725 S. Tracy Blvd. , Tracy Analysis Required LAD: ��lc#. 204--7884--0901 CNCCKON1 VIIOXONLY CT/Ur TURN AROUND TIME <br /> Shell Engineer. Phone No • X510 tj G I+onlo►k,9 uaT 2Ah9L ❑ <br /> R. Jeff Granberry 675_6168 SI•Inwsklpolon (] u4I <br /> Fax #• _ .6 hour p <br /> Consultant Name & Address o So9Cku4ry/Dlsposa1 "43 <br /> Blaine Tech Services, Inc. ❑ Ibaoy,X ]Tl�o� n <br /> 985 Timothy Dr. San Jose CA 95133 x 4443 <br /> Cansuliant Canlacl. jl`py�95% {408} `�" cra.'Wrul+ro'°' ❑ olh.r p Q1 V4 m So11/A1r R*m or Sys ❑ <br /> Fran Thie to oa O&M 44S7 <br /> Fax II293-8773b Notr Nollry toh as <br /> ' a Wo4arR•rn,or Sys soon as Posslbl.OF <br /> Commonis. N v C) O Ak M ❑ 44SJ 34/48 hn TAT r <br /> 0 <br /> Go <br /> U Olh•r ❑ <br /> Sampled b N c <br /> p y� o o co rn n. o N UST AGENCY: <br /> �, <br /> Printed Name. r1 w w o C ° c a a SAMPLE <br /> .. MATERIAL <br /> No or x x L ' E A c °' E CONDITION/ <br /> Sample ID Dole Sludge Soil Walor Air coals r m j °1 �} Q U U DESCRIPTION COMMENTS <br /> �r1 3� <br /> 9I <br /> /VW- 3 <br /> %f <br /> }, Prinled Name Dale �' Ro od {sign Prin ci No Dale <br /> Roll g ( n �/���'' /r /`� Tlmo <br /> Rolin d B (Sl PNnlod Name 7D jDalo Roco o (signature) Pilntod Name Dale <br /> Time Timm <br /> Rollatl (shed By(sl >laluro) Prinlod Name Dalo Received (slgnaluro) t Prinled Noma n�r f Date 2 /Cl <br /> ilmo /I. l�vl i ! Tlma <br /> 111E L.6DQR6TQRY MUST CROVIDE A QQPY Of 11115 CHAIN OF-COTODY WITH lNyQjQ1 6NQ RESULIS <br />