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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dale- <br /> to <br /> RETAIL ENVIRONMENTAL ENGINEERING-WEST Serial No Page ` ol <br /> SAddress, L Analysis Required LAB• 5Ev Dk A- - <br /> WICK CHECK ONE til BOX ONLY CUDT TURN AROUND TIME <br /> Zoe S-o9 <br /> Shell Engineer l� A phNo 4c7 5-ot N o W Monitoring ❑ 44e1 <br /> LSI N 0 Lo [�L�-�F� S'0e Sitslnvat4allon 114441 �4taur5 111 Fax_ 7 S��1 Z au5 QusllyrPt�p W ❑ 4"2 O hour. ❑ <br /> Consultant Name&Address m � <br /> Warar 160 <br /> OSD ELD6 L14 SL V IL Q S 0'6 — Clasaltynapoaal ❑ 4443 ❑ <br /> Consultant Contact h e No SZ-2ktO <br /> SoN1Alr Bern a Sys Dow <br /> ax Cib` 1�31� N m_ Nad <br /> m O a MA 4453 <br /> Comments N I i wmer Rem or uaarr tlNOTE Mpol Lab u <br /> �t-r.. q r <br /> `���` D, 0 0 O 6 M ❑ 4153 24145 Iva TAT itio d <br /> T Q uLTS 1N �t�V 1 2 a W _ Othar ❑ <br /> Sampled b <br /> P Y u7 N <br /> • � m m a to >_ UST AGENCY-S"A '11J <br /> Printed Name C� aa. a LU O g U.1 wriSAMPLE& MATERIALm <br /> Sample ID DateSludge Sot! Weser Air No of = _ m E C E DESCRIPTION CONDITION/ <br /> cants y ' (3 a � COMMENTS <br /> lN� U 1 s K kLuST C,prS � <br /> C- EFV-' I s3D5 lS <br /> CVsh RY(sl tur Prim N me l l Q�e 0 H sive (51on ) Print ame Date <br /> Rel s DOW ature Pr nt Name_ N Date Q t (I natur Printed Nam — / Time MAP <br /> (A ZTime Q Date <br /> �u ACS Time <br /> Shed signature) Printed Name Date Received(signature) i Printed Name Date <br /> Time Tkne <br /> THE LABORATORY MUST PROVIDE A COPY OF THIS CHAIN-OF-CUSTODY WITH INVOICE AND RESULTS <br /> REV'UM SHELL OIL COMPANY CHAIN OF CUSTODY <br />