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,i <br /> 1 <br /> r !tt <br /> •1 .l~ <br /> � �Y <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date ' <br /> Vic! RETAIL ENVIRONMENTAL ENGINEERING-WEST Serial No.: Page i of ' <br /> Site Address: rye` N GA L <br /> (02v 11jd . CkILY- 0/ VJ6.� ' Anai�sisRe wired LAB: :��c' itc';c� A ^:�1�' I-ir.,�.� <br /> WICn: 1 V — -15 2- L-A — L42 V c; CHECK ONE(1)I10X ONLY JCTA)f TURN AROUND tlhll:! <br /> Shell Friginees; Phone No.S1o 4B5 Quulnry Monitoring 45461 24 house <br /> Fax N: S10 G% q,0 <br /> Site Investigation [� 5441 48 hnnrs <br /> Consultant Name @ Address: 33 1 c✓ WLtzt r ivc sk- 00 Soil for disposal 5.142 <br /> {f_LC~tnc.{rly C.cr �(it �G�+ C$(a 13Jayr {Nrnrnrl!! t ^ �i <br /> � h�/1 .e I mS1 � +5 h t ^ Water for Jisposek [3 5443 <br /> Consullant Contact Other [� ! <br /> °hone No.�11'o 16M,1,,:.$ Air Sample•Sys O&M ❑ 5452 ` <br /> 3 J <br /> ROM n� Fax N. 'tib {,3g$�$ � � �, a Water Sample-Sys O&M (] 5453 NOII:: Notify I.rh es � <br /> soon as possible of a <br /> Comments: Other El 24M hr s,TAT• <br /> $ z <br /> Sampleab�1: <br /> ����/3�,u/r� � 0 } SAI~tPL[: u <br /> ." vI o IS _ MATERIAL CONDITIOrU x <br /> I'rintedN Joh 1�f,' �Gf. � L' ,� g DESCRIPTION <br /> >x 3 COI1hi[isi5 I ! r1i <br /> Sample ID Date Soil Water Air No.f �+ h <br /> qoflqp( <br /> F. <br /> MW - 5 X <br /> ON <br /> s y Signa e): led name: <br /> Date Re ivcd igna ): Ica name; s Uett: <br /> !1 / ' r��� ti G}.r_'r f'l, Jt I lAr??!� Timc• %, <br /> el' vishe $y {s alwe): pled n e: Date �dvcdPrinted nems: 1)etc;/-Z;: 3lmc S i Lf�/�7r Tirnc J ' <br /> e inqulshe $y (signalwe}; Primed name: ale: a1'rrm�Ied name::f Uete: <br /> Time'. — f`� <br /> TIIE LABORATORY MUST PROVIDE A COPY OF THIS CIIAIN-Or-CUSTODY WITI I INVOICE AND RESULTS <br /> ------ ---- -- - - -- - -- I! <br /> • Laxt Revision;sale:10115191 ��- <br /> �.a <br /> -r <br /> I <br /> rwn�ardec � �i <br />