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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dale <br /> RETAIL ENVIRONMENTAL ENGINEERING a WEST Serial No Page of <br /> ° Sttecress Analysis Required LAB: L1 � <br /> j 1r9 M. �W <br /> WICGY1fC4(ONE(1 f 801(ONLY CT+DT TURN ARDUNO TUfE <br /> Zo4GW monitomg ❑ 4461 <br /> Shell Engineer f/ Phone No She kamVe mien Cl 444+ 24hosrs ❑ <br /> J41J i `\ Fax 0 sof CiassVi)ispoW ❑ U42 4e nous ❑ <br /> Consultant Name&Address 16150 /,n,,=z44Y C_A1o Waror 15 day, X.(NorrTW) <br /> 14 a rilr l x cta, silyJDkepeesl r} 4443 <br /> Mel O <br /> Consultant Contact h ne -- LU SAM Reor STs ❑ "52' o m <br /> ` �'�• I l A NOTE.Natty Leb as <br /> Q OD Waley Rem or Sys sam as possible at <br /> Comments �—Q I ` 10 C) d G <br /> 14 O b M 4453 24x48[rn TAT <br /> I] <br /> Oi p W Z C0101 <br /> 617 N U d y <br /> Sampled by no co m G UST AGENCY <br /> co CID < En 0 0 N O m <br /> Q. w 0 a m -6 0 SAMPLE <br /> a Printed Name _ .. <br /> w w m o to ,� ,� MATERIAL CONDITIONI <br /> N No of z 2 i E .2 E DESCRIPTION COMMENTS <br /> Sample ID Date Sludge Soil Water Air conts � Q <br /> U <br /> �� �304644-A.D _ � <br /> J <br /> Q <br /> Z — — - — <br /> Q <br /> M <br /> O <br /> N <br /> S Pnn[ J— Rceived(a moue) Pr nied Name Date <br /> j 5(', <br /> C C C Time /V ° <br /> R tehed$Y( gnature P nted Name a (a Ponied Mame Dai L �+ <br /> C r y/ / - Time <br /> 4ietmquished 9y(51snalureI Pnrited Name ceiired(sipMurt3) Prm[ed Name Dare <br /> Trme <br /> THE LAeoRATORY MUST PROVIDE ACOPY OF THIS CHAIN OF-CUSTODY WITH INVOICE AND RESULTS — <br /> SHELL OIL CQMPANY GlWEN QF CUSTODY <br /> REV 4MIM <br />