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CHAIN OF CUSTODY RECORD Dale I-I5 -99 <br /> SHELL OCL COMPANY t <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST setlal No- Page ( of <br /> LAB: SC-iQU�o l A <br />► 549 Ad ass: �i �� 1J� Lod � Analysis Required -- --_- <br /> CNECX ONE(1)6OX O}IEY C114T Mill AROUIID TIME <br /> 111110: <br /> G W Mon1{orinq ❑ d161 ❑ <br /> 24 hour <br /> 5he!! Engineer: %9 �-9346 Ti 1 sR.lavatn0a+lon ❑ 444t ❑ <br /> 46 howl <br /> �,� ax :[ �/ <br /> 00 O Soil Clactily/DEtpolat l7Cj 1447 <br /> N 115clopKill <br /> ormal} <br /> Cvnsullanr Nam MdWess: -�HNoWM,0 I*JC-- N ,vnl„ <br /> CA"15ArA 6t4V{R,oWMEnSTa'� I }( Clotdly/DIsposal ❑ 4443 Olh.r <br /> T'0., 150K Z5 oNoh1 CA _ � is CO r ❑ <br /> Phone N o • �, N 'TSolllAlr Rant or Syt <br /> Cvnsullanr Conlacl: (-,,-r)93k ,n C305-41559 o -- o a M ❑ 4452 <br /> 1 t1O1E No11[y lob m <br /> A <br /> u1�f\�3 CD4L Fax #r:(10)q%-64+9449 u m Q Wa1ai Rom of Syt wore ni Fallible o, <br /> f S � 0 is ry 0&lA ❑ "S3 24/48 hrr IAT <br /> N w to <br /> Commenrs: b o v o,1,arEl <br /> o n R v z <br /> Sampled by. o a 0 rn a o o UST AGENCY: <br /> e� in <br /> d 4 cl o c o SAMPLE <br /> Prinled Name. w v `✓ -- a �, o cL E MATERIAL CONDITION/ <br /> No of x x w o V, o A o 01 o UESCRIPTIOrJ COMMENTS <br /> Sample ID Dale Sludge Soil Walel Air canis °F-' m � r- U Q O a U <br /> �I I a►a ar,5Lv" <br /> Pro+oc�� <br /> Y15- <br /> SF'- <br /> n -fiP's P--- A Y15 <br /> SP-- 8 — — — ,� <br /> MAL <br /> S P- — <br /> :DOl�R j tNlA4j N1 r A VVmum A � <br /> — — <br /> r <br /> L .,_ <br /> Nil ed Name Uale PT1T�l 4 TT►e Dale <br /> Rel! u had By(Sig re); R Iv slgl�afure) r i� i tit t! <br /> �� Ilrne o� ��-� T e <br /> Re ed(sign fuze) P 11 d Nun Dale P <br /> Rr Qu1 h By(slgnalure)• Prinled Name- Dale / /l, � ��} T11ne <br /> 111ne: <br /> Prinled Nalite; Dale calved slgnalure) Prinled Nalne Dale <br /> Rellnqulsh By(slgnalule)• Elmo <br /> Tlrne• _ <br /> O U O 9 O UI C QE CUSIODY Willi IIIV019EU USUITS waonerca�r <br />