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N SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dale <br /> RETAIL ENVIRONMENTAL ENGINEERING-WEST Serial No Page l of <br /> Site Address — - <br /> Analysis Required LAS- �VUMA- -_- <br /> WICH - — <br /> CHECKONE(I)BQ)(UNLY CTrOT 71JRN AAOU7es7 11Rs <br /> No 7 <br /> Shell Engineer- Phone - G.1Y McNt�r]Ra ❑ 4461 <br /> � 241ioure C7 <br /> L y1 6eelna4aflm 441 <br /> f 40 ham L] <br /> — S01Cbr&jf#0gA2al ❑ 4442 <br /> Consultant Name&Address A-E4t <br /> 15day. K{fauea <br /> Ll- C} , ca_ siryUrspneal ❑ asss <br /> Consultant Conrad hone No -211( <br /> _ � io lk u flare or sr <br /> �- C, �` (G; � m o a rN 4452 <br /> t ax#" 830 to m m of MOMwdytabas <br /> Coatmenls � f�� 0 � u1 WNamf fiaan or We soon u poaabw or <br /> �I O G&M 4454 w4aJim 7Ar <br /> Ch 4! 3 Omer ❑ <br /> Sampled by In to �► u a m <br /> a + _ = y C } UST AGENCY 'VI <br /> Pnnted Nems P-�f— a w O ;� io s -- <br /> j m o` c c "' MATERIAL SAMPLE <br /> Sample ID Data SI �O of = _ CONDITION/ <br /> udp Soil Wafer Air No o x � m � � � � r ci tE DESCRIPTION COMMENTS <br /> o) � <br /> 12'24 - <br /> � lit - <br /> � - 4p►�z�3.1 <br /> A ZL4* . <br /> ko <br /> Finn U, �y( a Panted �4 °� _ Reoa °� � ;7.7 Prirucd Nara, `f f �Z��t��° <br /> am t 0- f / tf �e <br /> Lata ��' ped ignatiue � � Pr h� tfr��Z <br /> rma j�� c.a - -- fine_[_ <br /> Relinquished Br(Slgnalurm) Panled Name Dais Received(zbgnature) Dara <br /> Time Imo <br /> THE LABORATORY MUST PROVIDE A COPY OF THIS CHAI"F-CUSTODY WITH INVOICE AND RESULTS <br /> REV 4!193 — — — srfu oIl OUNPAW CHAINUF 0,'Tc <br />