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1[ <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dale: -Q0 <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Sellal No: I Page I of <br /> Sile Address: L?—ow. 0hx4rx S-Fac(c Analysis Required LAB: <br /> SA P Cod-4 1166 1 14-7 CHECK ONE(1)10X 011LY Cl/01 W1111 AROUND TIME <br /> l�1{i1 T #: .9$99�v1�7 CW Monl1orinq ❑ 4fi) 24Aouu ❑ <br /> Shell Engineer. Phone No - <br /> ss9 645-93x6 , Slrrinwrllpalbn ❑ 44J1 ❑ <br /> KZI.w; �� �}� Fax 0 4A hours <br /> a <br /> CQnSUIIOnI Namer& Address: fa sax Cbrruy/Obpora! ❑ �� 16 days Norman <br /> CAMBvR{A FNVtRANMEESTA-L-- N�I"dG��I�`�C• <br /> Wolof ❑ 444] <br /> P.O. Z 461�1 CA OwMC. crauUy/016poral orti.r ❑ <br /> CQnsullonl Conlacl: Phone No.: m saurnlra.mwSve <br /> c->l)934-4se� N y o6M ❑ 44:: <br /> AUI�EY Cool Fox 0•ilm)gx-64+9 o Q loIE rro st lab at <br /> Wa1rr Rvrn or iyi, roan a��orclblr of <br /> Comments: �: w O o e M u6] 24146 hu IAT <br /> tj D CA ., va <br /> z Other ❑ <br /> Sampled b • 0 o o o UST AGENCY: <br /> aGO co O a t �, <br /> Printed Name: ti CL w �► c ° c v fl SAMPLE <br /> W WO .0 i7 n. MATERIAL <br /> -- -r x 1j ; >_ Q1 a- E CONDITION/ <br /> r No OI X x w m a DESCRIPTION <br /> sflu waler Air a ,� o o, <br /> Sample ID Hale s canis a- ' > to- u 00 a u a u COMMENTS <br /> 3 I x()LDCPT- i - s o' k�� X —— <br /> CPT- k- to S" —w <br /> CPT-- l —20 ' 1 15 0 1[ ':-{O LE) <br /> CPT- I 20 S' <br /> CPT- 1 <br /> CPT- 1 40 <br /> GPT- I 50 S' <br /> GpT- <br /> Re1t qu s ed By(s gnolurRrl ►ed Name: Date [3-3 I Received lure) Printed 'Name- �I Dole <br /> e • <br /> Relln utslled Me); POW Nom — Dale,lt a R Iva (sig ure). P II d Natue, II Da Es• <br /> r. -LOA) Time: 5 <br /> Relinquished By(slgn(]ILrre)• Printed Name, Dale I calved(signature)- Prinled Name Dale: <br /> Tlmo: <br /> II - U Q �� �aanrcuwor <br />