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0 -SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date <br /> RETAIL ENVIRONMENTAL ENGINEERING-WEST Serial No _ _ Page l _of <br /> site Address -- � <br /> 1 jJ+ , f L — omAnalysis Required LAB ' 0 <br /> WICa 1 ' <br /> � <br /> _ - - - - - - - -- - ` ------ — - <br /> J _ L` �-7 �iS # �� CHECK ONE(1)BOX ON[YI C11DT TURN AROUND TIME <br /> i 11l -- - ` GW Monnoring I 1 4461 <br /> Shell Eng`l'near ¢ h e No6;7�-�1L 24 hours I.1 <br /> M LN� u At_9i - f ���/ . Sao InvesllQaupn I 4441 <br /> y sR Soil Classil/ 48 hours LJ <br /> Consultant Name$Address �LLi� o roispp5al [ J a4ax <br /> W 1101 15 days (Normaq <br /> 7±IassilyrDlsrlos ll I 1 4447 <br /> Consultant other Contact- t ho a No rJ 1 <br /> p SpiUAir Rein a Sys <br /> w � fA O 3 M 4452 <br /> "7 ru m GO ad <br /> n (, o NOTE Notify Lab as <br /> Comments Kx��� /� �� Lj��i tv _ -- N Q LO Water Rem or Sys soon as possible W <br /> i 1 o O O 6 M ,4453 Zgraa lee TAT <br /> W Do <br /> Sampled by f` CO m Co1.0 Ln <br /> b $ ►� NCD <br /> cher - <br /> �'-�t� �.ANk11� ¢ < m UST AGENCY S `3?3 u 14_ <br /> Printed Name -- n a w p 4 w c9) o � - - - - <br /> --- - --- - —-— — 9111 <br /> w 111 m ° `�° MATERIAL SAMPLE <br /> No of = z X m E m Er 014 CONDITION/ <br /> Sample ID Date Sludge Soil Water Air a- a. "� r � �, d DESCRIPTION COMMENTS <br /> cons <br /> it <br /> R tin is a By(srg re Print a a � ' Da1 3 {� sl nater ) - rn P me f'� ,�/ Dale U 4 192, <br /> Tcme C: t;+� am�� � ��L 1 Y Y_I�.c71� Tlma <br /> Re Inquished By(signature] Printed Name Dale Received(signature) Printed Name Date <br /> _ Trme <br /> Relmquishad <br /> By(signature) Panted Name Date Received{signature] Printed Name Data <br /> _ _ Time <br /> V <br /> _ THE LABORATORY MUST PROVIDE A COPY OF THIS CHAIN OF CUSTO_DY WITH INVOICE AND RESULTS — --- <br /> 4-11193 ----- - - ----- -- - - - -- -- _ - - - - -- - - <br /> SHELL OIL COMPANY CHAIN OF CUSTODY <br />