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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD ;DaleRETAIL ENVIRONMENTAL ENGINEERING -WEST Serial No of r <br /> Sq Address — <br /> J� , Analysis Required LAB i/ C <br /> wf c# — CHECK ONE ll}Box ONLY CT/DT TURN AROUND TIME <br /> Z - 3 � Cy _ <br /> J O W Monhoring El <br /> 75 <br /> Shell Engineer Pho a Na f U �' 24 hours ❑ <br /> ,�7' 4 1�aS `J\ c $de Inveellgallon 4441 <br /> Fax # ! !� Gr7l V ` 4ano�r. ❑ <br /> t't✓l ��,]� Sotl ClassllylDleposal ❑ 4442 <br /> Consultant Name& Address [� ] co r� wars �15days , (Normal) <br /> //`y� <br /> C 1!'�j` Clase{lyll)lepnaal El 4443 011rea 171 <br /> Consultant Con a[ cl Phone No cl e soluar Ram Of SYS <br /> y v m OaM ❑ 44sx <br /> N t+oTE NoIMy Lab as <br /> -`1 •I(., r� �� « Fax # TbE 1E.3c °' m °n <br /> c. � � � Wale(Ram of Sys soon as possible or <br /> Comments A ii N Q OSM ❑ 4457 24/40fua TAT <br /> J4efc��f,L're� errv%1x) ?S f►1n� 1)e: (tt�� " o o a w Coo ` <br /> 2 o x 10 CD <br /> Oihar El <br /> Sampled by G1`� �� 0 0 m" a . N 0 UST AGENCY T �n <br /> r JL Q <br /> --- -- _-- �' -, � O U) <br /> C0 <br /> aa O <br /> Printed Lane ni O m o <br /> SAMPLE <br /> w w o <br /> 8- MATERIAL CONDITION/ <br /> No of X x b ;n E q� m E DESCRIPTION <br /> Sample ID pate Sludge Sod Water Air canis r,e j �^ p`_ COMMENTS <br /> V/ 03 NP <br /> v U 4 <br /> _ -- <br /> F;e1 utshed By(sl nature) Printed Name Data 1�� A cels (sl alto Pr nAd Name Data l,J <br /> ��h are �(c 15 <br /> 5 v rD l f A k� r2 T I�� �.,��Ie� Tuned, >— r f+7 X16 Tlme <br /> �= F— -- <br /> etin Isile y(sig tire} �n P Int Name Dale — c wed(slgnalur Printed Name Dale <br /> � � L .►.<XJ � aC✓c /t Time ff <br /> Time <br /> quashed l� signature} Aimed Dame Date floc wed IsI nalur Printed N e Date <br /> Time met T[rne <br /> -- THf_fA6oRATORY WUST PPROVIpE A COPY OF THI CIIAIN - US_T_ODY WITH INVOICE AND RESULTS <br /> — —---- --- SHELL OIL COMPANY CIIAIN Of CUSTODY <br /> REV 01193 <br />