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SHELL OCL COMPANY �� --- - -- - �- <br /> CHAIN OF CUSTODY RECORD Date 47`7//' -3 <br /> —RETAIL ENVIRONMENTAL ENGINEERING •WEST Serial No Page of f <br /> Site Address <br /> w 1�I—, Analysts Required LAB 2 <br /> CHECK ONE(I)BOX ONt�T1QT TURN AROUND TIME <br /> Shell Engineer Phone No Sf L G W Monnoring 4461 <br /> Site Investigation ❑ 441 2a hours <br /> -,,� _ Fax# �z-_�/�-c 48 Hours f 1 <br /> Consultant Name& Addresses r o So�lClasSuyrrn5po5al f 1 4442 <br /> ! , co Walor 15 days �}.r-4cJormalt <br /> co�sL1 - �L/Cc l- -�7d�y _.`. X Classify/Disposal 4443 cher <br /> Consultant Co*-A- Phon No .9 w <br /> �2- -2 r`D ~ S O&M Rem or Sys ] 4452 <br /> I Ct rZ Fax # ��rG 713 L m m as <br /> Comments C7 I NOTE NotdyLabas <br /> N Q � Water Rem or Sys soon as possible of <br /> i O D C3 t1 O 6 M I I 4453 <br /> ! �q0 i 24148 his TAT <br /> Sampled by I � ___ Ln Ln N v m m Omer <br /> 0 o w <br /> P <br /> Printed Name I a ¢ a LM o s` , } UST AGENCY - - <br /> - - - — - ° N - <br /> MATERIAL SAMPLE <br /> U) <br /> Y X o <br /> Sample ID-- Date Sludge Sall Water Air Nontst a a"m DESCRIPTION CONDITION/ <br /> COMMENTS <br /> tt <br /> Pnnted Na � Date � �� Rece g f � Printed Name H/ 1 Date <br /> rl <br /> AN �.eTfine z , �! _ _ -- L��y�{ Date slued r Pnnted Nam4�� tit__ -- Time [ `` � Tlme Printed > }?_ _3 �-4=, <br /> Date -- Received sI nature) Printed Name Date <br /> --� — —__-- Time <br /> Time <br /> THI LABOF-A-TO- Ry MUST PROVIDE A COPY OF THIS CHAIN OF CUSTODY WITH INVOICE AND RESULTS <br /> REV 411143 - ---�- - --- -- - - ---- -- - - — - <br /> S1ILL L OIL COMPANY CHAIN OF CUSTODY <br />