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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date 4 <br /> RETAIL ENVIRONMENTAL ENGINEERING-WEST Serial No Page 1 of <br /> Site Address e 1D � Analysis Required LAB Sf Q,'_�Dt A- <br /> WIC# --? CHECK ONE tl)BOX ONLY CTIDT TURN AROUND TIME <br /> v�l-�r y z� - r �Uet <br /> O W Monitoring ❑ 4481 <br /> Shell Engineer Phone No to 7 5:- b1 24 tows ❑ <br /> L S�v / She Investl�atlon ❑ 4441 <br /> Fax# Q -(i i�� 48lwws ❑ <br /> Consultant Name&Address F tJ S sorcleaeurrolN e1 ❑ ++�� <br /> [ 1� t t f Wa>er 18days X{Norm�all) <br /> t1 �, tA �L ttop 11*,Jlu_L�i 06 W Claeslly0lopoeal ! I 4443 Other <br /> Con tant Contact h e No -)-\l m p SoWAIr Rem or Sys <br /> In Od14 452 t! <br /> ad NOTE NothyLab as <br /> co W) Wider Comments rr It SL)� I ►� IF 1 o — O a m Rem or Sys El "m 24spossibleaon wa1 <br /> uj <br /> � � Other El <br /> Sarnpled by z` <br /> Co <br /> 9 Q r UST AGENCY !DAW(tj <br /> a a CL o �°— <br /> Printed Name rAcf✓ W w w0 <br /> o D U 5 V 0 MATERIA! SAMPLE <br /> Sample ID Date Sludge Solt Water Air No of = _ b CONDITION/ <br /> COWS m j 0 L9 am` DESCRIPTION COMMENTS <br /> 44 <br /> 1 uished By(sig P1,1014d Name Date _ A I (sig e) Print ame tate <br /> .c- ►� 1� Time _ '4- Qy ( Time <br /> "WIRuia y sl naturey Prtn eme Date A I i a r Pn d RAIPQ 1• Date gb <br /> �tATime -j Time <br /> ulshed signature] Printed Name Date Received Isignalure► Printed Name Date <br /> Time Time <br /> THE LABORATORY MUST PROVIDE A COPY OF THIS CHAIN OF-CUSTODY WITH INVOICE AND RESULTS <br /> REV 41JI193 SHELL OIL COMPANY CHAIN OF CUSTODY <br />