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i <br /> I <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date° <br /> cn m RETAIL ENVIRONMENTAL ENGINEERING-WEST Serial No., Page of tL R <br /> IT SJle`dress Analysis Required LAB: bE g b ok A- <br /> WII# CHECK ONE III BOXONL MIDI` TUSH AMUNR TL4E S <br /> ZOL�-`7�Z�- t�o9 <br /> civr tAanralnp D 4+e1 # <br /> Shoo Engineer ho a No�7 s-lolb rw,�� D <br /> LIA N 0 w xu�P� o 4 ,o <br /> ax :to? - �. ed C1u*A)uv" ❑ 444: A11 fiow. ❑ <br /> r� Consultant Name&Address-1 1: t,)kST itt. �Isd." G+�n11 <br /> osD i L� s v , a s�1� «4w ❑ <br /> su ecl: No ?Ako Dow ❑ <br /> In <br /> N r+ SoA1Wr Rana 8y� <br /> s ora I ,,4458 <br /> Max i 18b-163c7 °� 1g gono�r�Nan rte.. <br /> comments:-to R3 -I D N oB dw R.n►asr. O <br /> �c-s ACJ t o <br /> z <br /> sampled by: Jtin < LM 2 0 � UST AGENCY.5," Wwytj <br /> Ptiniad Name: i w w ! c MATERIAL SAMPLE <br /> No of Z Z I w c E DESCRIPTION CONDIT10N1 <br /> Sample ID Date sludpe Sol Water Nr cams tg COMMENTS <br /> J <br /> LwF ` `E - <br /> r d r t;l <br /> J <br /> Q <br /> 0 <br /> Lu <br /> U <br /> m <br /> m <br /> m <br /> m <br /> m <br /> R aZ M By{sip ne Pdt tad N 1 DMI) RBaelved I ftnMfel PrlinIed Nnmir Elate <br /> `{J Thne Ime <br /> Rellnqul shed By IsIgnewrel Pdrod Nww Dote Received(sipnatue) Prtnled None Dam <br /> Time Tkne <br /> Relinquished By Rsignewmy Ponied Name^ Daae Ruelved Ieipe>wlure) PdRa Nwm jDate <br /> lime iX _- L_cu lime <br /> THE LABORATORY MUST PROVIDE A COPY OF TH' AIN-OF-CUSTODY WITH INVOICE ANO RESULTS Aft <br /> REV 411M SHEt.L at C-O PAW OW CMGDY <br />