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I <br /> SHELL OIL COMPANY CEIAIN OF CUSTODY RECORD sic 4121194 <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Senal No Page I of � <br /> Sac Address �C'G U1 :�� (� 1U CtT u)(I `� Analysis Required LAB: i <br /> CHECK ONE(1)BOX ONLY C A)T TURN AROUND DA <br /> WRcN LcA -- -�,z_4-- 4 :3G - - <br /> Shell Engineer Pham Na ICS) Qrarialy Monitoring 5461 24 hours ( [ <br /> K1,f-j ��1_11 ��� I' Fait it Coe 7 - 7 Sttc Inveslt6aimm [ } 5441 45 hours I 1 <br /> consultant Name& Addres -- —-- �- Sod far disposal j 5442 15 days JJ imwm' <br /> 11 L'C 111 C yC ,Cf��G'J Water for disposal [ [ 5441 <br /> AuSampSyadM 552 <br /> Other <br /> Consultant Contact PhonNo 1t <br /> Z �/ LL <br /> 3 30 jS 0° Water Sampk Sys OAM E) 5451 NOTE Notify Lab. <br /> Z&-3 341 i roan as possthk tsf <br /> Ounments �L� _ Z 0 4 2 1 `$ � cher ❑ 24/48 hes TAT <br /> 401% on z <br /> SAMK E <br /> By s.mP led 8 / /l•7= MATIERIAL CONDITION, <br /> DESCRIPTION <br /> PrmtedName ';Pr(f14-'4 -- - COMMENTS <br /> Sun k ID Date Sod Water Air No of > <br /> p r=13 <br /> I <br /> 3 X1 X saosool -c <br /> 3 <br /> ixI� <br /> X s <br /> x /6 <br /> eltaqutshe y — - Printed name Date / 1 L R na a ted name Dale <br /> /�� rime o G >, o T=- <br /> Da <br /> R nquishcd By (sesnalure) Printed name Date Received(st6nstme) Printed na ne Dale _ <br /> r rime _ <br /> Rclmyunhcd By (ht;nalure) Panted name Reccivid(argnatarc) Prutilcd name fiffsrc <br /> sme <br /> WE LABORATORY MAST PROVIDE A COPY OF THIS CHAIN OF-CUSTODY WIT11 INVOICE AND RESULTS � <br /> i atit Rrvtskm llalc 10/15191 � i <br />