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1[ <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dale: <br /> RETAIL. ENVIRONMENTAL ENGINEERING - WEST Seriol No: Page S of & <br /> Site Address: Analysis Required tA�: ux� <br /> L70 W. Ch�.�r-�r S+acfc <br /> GAP COOU ' 13 6 t y c}rrcic°rrE n>pox°ruY CfJDT tuarl A90Ur1[)nME <br /> r � w-_ !! p rr�� ,, <br /> 111UfJ�.�iVST *: 99`4'(%1 Gw. MonMorfng ❑ u41 24 houn ❑ <br /> Shelf Engineer: [Ffsax <br /> hone No.: <br /> 59) 6a'934(v iAs lnr�ellpafbn ❑ 4U} 40 houn ElKwo a p)?,, #: O a <br /> Consullanl Namer&Address: 4 Soo Glorrlly/0lrparal E] 44@ f 6 dayr ormal} <br /> CA"evtlA FNviRANMEf�Tal.— `wHN0L_"%(, ca walor <br /> Q O. 2 No CA o VoWly/Dt+porail ❑ 444 other 0sullant Conlacl: Phone No.: = v co ., solllnrr Ron or syr <br /> COn (1741)985-48 9 cd 0 a M I ❑ .14$2 <br /> A to L��C-Y COOL Fax 9:I•fa►�9z-109 6 � Q � � yr roars floury lab or <br /> waror Rom or scoon as!'oulbfo or <br /> Gomm@nos: .6 j v 0 f o a fA ❑ 4467 7414e his TAI <br /> gu n. v z orner E] <br /> H 1 <br /> Sampled by; A . � � 0 � �, e ' o 0) UST AGENCY: <br /> GO d O <br /> tow <br /> ' n ° <br /> Printed Name: 4o <br /> � <br /> SAMPLE <br /> . aMATERIAL <br /> , x '5 : E cL E CONDITION/ <br /> NO °l y <br /> water Alf " Aa 2 Q DESCRIPTION COMMENTS <br /> Sam le ID gale tr salt conic 0— Mm u U v <br /> 3 <br /> 6+8 ,,,� <br /> X 6 XX <br /> 175 _ X X _ <br /> GPY— Iw- 79' V <br /> CPT. 2w - 30. �I2s 100 X <br /> CP 35/ 1055X <br /> T zw- <br /> CPT- 2w-50' 101 <br /> T- 3 w 30 X.) hx —L <br /> CP CP7= 3u� - q� 0950 �� x <br /> Rell qus d By(sign if))- P_n ed Name: C�rt Uk Htoamlee: 9- 1 lvod s nalul d <br /> I ' , Dale <br /> 1w <br /> Tim 'e <br /> jl e' Sad (Sig Narfle: Dale: <br /> Relln ushed B tut POW Nme: Dole., Time:kU" <br /> Prinled Name: Dale. ( Ignalure). Pllnled Narne, Dale: <br /> Rellnqulshed By(slgnalure): 3 <br /> Tlrne; Time: <br /> AskU <br /> -ClT OD k1 fl <br /> If �I nrr a v+ti ri G.aav <br />