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11 1 <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dale• <br /> RETAIL ENVIRONMENTAL. ENGINEERING - WEST Serial Na: Page 3 of 1'c , <br /> Silo Address: Analysis Required LAB: <br /> * GA P ��,,t � 13�e �'4-7 CHECK OHE(1)BOX WILY Ci/Qf TUR11 AROUND 111.1E <br /> �yyrai�+- n p r� n <br /> �n U aJAA� �� .gQ99�($ 1 � C W MonKorinO ❑ 24 hou+t ❑ <br /> 5helt Engineer: Effa <br /> hone No.: <br /> 59) 645-9130(0 58o inr�dlpalbn ❑ 4541 40 hours ❑ <br /> Kw► Tlzh x #:c aft- a <br /> Consullanl Namer&Address: N So1C°`r�y�D1i�°r°' "`_ <br /> CAMl51trA twt4%ji t4MEP�TA.1— TCGHn1oL.Of�Y,i��" i6dnyl lormar} <br /> Wa1or ���] <br /> CA clardry/D6P0&of ❑ Olhes 0 <br /> Consullanl Conlact: Phone No.: SoNIAlrRormorSys, <br /> (-Ton)985-*859 r^r ID IN df D d M pfor4452 <br /> AUMC-Y COOL_ Fax #•hw)vx-b449 q Q ,n soon at <br /> blob or <br /> „� Plalol Rim.or syr, 445] roan ar poul6l�of <br /> Comments: .1`. w t" o e�( ❑ 2446his TAr <br /> v -q N to tU <br /> O O '0 0 'l7 Z Olhor ❑ <br /> cti. W <br /> Sampled by: A . o o 00 ° o ti-- UST 'AGE01cy: <br /> °° op Q O N <br /> Printed Name: SAMPLE <br /> w X o ` �, o Q E MATJrRIlAL CONDITION/ <br /> Sample ID Tom. No,DI x w o o ° o m o DESCRIPTION COMMENTS <br /> p Dale a Soil Waler Ali a 0. ► af— <br /> COnlS F— N- � > F-- U SJO Q (.} n. U II <br /> 5' 3,yg L4-3v �C I 1-�0 <br /> Logo <br /> — <br /> C�T- <br /> CP-[-3- 60 5-' <br /> — — � b L-D <br /> CPT- 3 --1AA <br /> o S' [ _ _ <br /> X � <br /> CPT- 3- �o •s' i6(5 �F <br /> Re u sl ed By(slgnaIWe)-, Prir>led Name: Dale:[ 3-31 RQ1r;Iv d(sig ure), Prin1 d qczme Data <br /> MX Time <br /> Relinquished By al#: Printed ame: Dole-' ';] �L ved(sign a}; P ed affle• �� /� pale• <br /> lime.` ,3 / c -r,A->J �!, Time. <br /> RelingWshed By(signalure): Printed Name: Dalo:; a elved (s nalwai Prinled Name: Dare; <br /> Timo• <br /> llme <br /> THE jAjQ8A10RY_MUST PRQVIDF A rOUO -CU Q W ESULI§ II <br /> 11 qwII - w a on sr wroar <br />