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IQSHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dale: 1?-Feb--78 <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No: - - Page o2 0! <br /> Silo Address: 5� CK _ Analysis Required LAB: _ e9CICIq <br /> 6 (Dmllfv Club )� - -- <br /> IC : CHECK ONE 111I0x ONLYCTIDT TURN AROUND 11Mt <br /> 204— 75 �q _p�o v <br /> 1 <br /> G.W. 1JIonNoflnp ❑ 41f1 74 home ❑ <br /> Shell Engineer: Phone No.: 510 <br /> .�3 5 so 7 �a SO*Invorllpolon �u1 44 hews El <br /> /�'u2 ( fe!'`e` Fax : 3 <br /> Consultant Name&Address: foNclossNyplHpasat [J 4442 16daye (Normuq <br /> Cambria, P.O.- Box 259 Sonoma CA 54 6 � 'later t / � �. Clwuifylpkporal ❑ 4"3 <br /> El <br /> Consultant Contact: Ph#. 707-935-4854 , -o Olh.r <br /> .�. y solllAlr Rom at Nys. � �I f2 <br /> Pax: 935-6649 �1 <br /> Joe Neely � � ) Q to I aaM NOTE: No1gytab at <br /> y Wd.r Rem.of sy$. soon as f ou1Wo of <br /> Comments: -d •d c.0 O R f4 ❑ 4163 24144 his. IAT. <br /> •� IL V Olher ❑ <br /> Sampled by: J N, r a <br /> oO m ° <br /> >•• <br /> ' <br /> UST AGENCY: <br /> O E c n <br /> Prinled Name: - <br /> SAMPLE <br /> IMATERIAL <br /> 75 E - CONDITION/ <br /> No.of ° ° a a DESCRIPTISample ID Date Sludge Soll Wales Air , u ON <br /> nls, an > 4 u U <br /> COMMENTS <br /> 30 <br /> q�D id <br /> do <br /> llellnquMod By gna e): Printed Name. Delo:- Re ed( gn lure): Print d No e• Dale: 2 S <br /> �f►�.v� T1r,�.z Y i�hd#N � 1 nmep 14l40 <br /> R 6 Nlgnahxa: PTlnl ane• Dale: 7-1-z + Received(flgnotur ): Prinled Nome: a. <br /> 11 WL ZZDS� k litC Tina: <br /> din 0hfwd 6y(flgnalure): Printed Name: Date: Recelva"gnalur ): Prinled Norm: Dale: <br /> Tlma; 1 Lt-t-e '. � TirrT.: I lulu <br /> TFIE IJIRORMORY MUST PRQVIDE ACO QF TII1S CHAIN-OF-OUSIQQY-WITH-INVOICE AN <br /> "osnm w uao,r <br />