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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dale, 1- 15-99• <br /> RETAIL ENVIRONMENTAL ENGINEERING - 1NEST Ser'a1 N° PageZof <br /> VeAdd,ess• Analysis Required LAB: SeQ <br /> &o vic, r Road Lodi — — — <br /> nn I ¢ CI{ECK atlE[1)507f OfIIY CTlDT [.T.0 <br /> RfI AROU{fD 1114E <br /> rilCY: Q'&D ( G W MonMoriny ❑ 6161 Ej <br /> z��`'!'"C"1 v r � 4 hoursShell Engineer: phoxTe No ' Sheinvesrlpa{lon KWItv5s) 1x45—9306 + hours <br /> '(,wren Pe nx <br /> Fax <br /> #:csse ins- <br /> Q SoRClots lry/DLposar ❑ 4442 IS days IRllformal) <br /> Consuilanl N e,&Addr?,p � �"\ <br /> Carr+bna `h"-1DAMe••�z"l T.ecynolo9y� Ir►c.. p4447 <br /> wo{or <br /> F0. 2 9 $onprn� G4 547!0 ClassllylDlspo►al ❑ 01her IJ <br /> Cvnsultanl Cvnlacl: Phone No : v m SoAJAhRom orSys <br /> (7o'I)93la-4859 N N amp oty GAM M ❑ 44szNOTE <br /> �� Coo p soon Noose Lab as <br /> Fax � ' yp-z)Q35-4{If! [] Q Walar Rom or Syr soon or Possible at <br /> � nw. 0 O 6 M <br /> E] "S3 24146 hrr TAI <br /> Commenls <br /> 0 n <br /> 0 <br /> 0 y x olnor <br /> 174 <br /> Sampled by. - n <br /> caro v UST AGENCY: SSc.P_�S - <br /> Prv4b+ Cam._ � o dl p r N o �. <br /> a o G CD y <br /> Prinled Name. "a ° °' o . d cL MATERIAL SAMPLE <br /> `✓' y a. E CONDITION/ <br /> Tom– No of x x w v aQ o m o DESCRIPTION <br /> Sample ID 5nll Waler Alr a {, *- a � Q a U COMMENTS <br /> p Dale ��' conls r- r. m � r- U <br /> 1�1W- ��OLD <br /> S g-z.-- 5 O - <br /> HOLD- <br /> Sr3-2- I0 0 ' 1° l.D — — — — <br /> 0 L <br /> ►S o ' LD5B- 2-- <br /> 5 6-2 - zD s' ID LD 3a o I 3� — — — — <br /> 5Q-Z - 35.0' 10,¢6- _ -1 <br /> I� 5n <br /> Sg 2 " 5 Prinled Name Dale IfT <br /> tin ul ed By WWI Pllnle Name Dalo 1�7 9� 4di <br /> alure) <br /> c1 ✓`.+ pr-t rJ 4 ilrne [-S!�` 1 B' <br /> Prhded Name Dal211! <br /> e-OF-cu <br /> 1 re) P <br /> FdNar �'-l Date kn s s By(slgnalure) M4s'I "1 N Time <br /> �� lim -� <br /> Relinquished By(slgnalure), PTlnled Name: Dalegnalure) I'rlrlled Name Dale <br /> ikmo� <br /> llrn __ <br /> O U O Q� W f o C D Sl) S hMa avi er C�,oar <br />