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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD— — Date <br /> RETAIL ENVIRONMENTAL ENGINEERING-WEST Serial No Page of <br /> Site Address-4 j }s Analysis Required LAB, <br /> u <br /> 1 tJ c C L NU F\�'1 1 'I L C t I`� (2 - -- <br /> W(Co. _ _ <br /> CHECK ONE(1)9011 ONLY CBOT TURN AgOUNb T(ME <br /> r,rt 0I MonAertnp l] 44e1 _ <br /> Shellng neer; ho a Na i11 [ I <br /> LlL W � � �i` She investigation El4441 21 hours i i <br /> t �ax it � ) I 1 48 nous El <br /> Name&Address FC. p WLS Sol MusNYID al ❑ 4142 <br /> p o0 water Isdeys �i {Narrr4ln <br /> ta0 �1 L1 _,_ Clmsltylblsposat ❑ 4443 other I ] <br /> Consultant Contact, Ph a No -Fk% m 0 Sol'Nr nom or Sys <br /> � 11 L 140 ax lk�46`?�34 2 N t9 t7d M 4452 <br /> ap N3 NOTE NorityLahas <br /> Commentsm pow <br /> D In wamw nam soon or Sys stble d <br /> Oac a a M ❑ 4453 24148 tws TAT <br /> 9 w x Other CI <br /> Sampled by r '1­ C m <br /> CD m Co <br /> e r USTAGENCY <br /> CL <br /> m <br /> Printed Name• t' �1 -- _ w IL W m o 1 MATERIAL — SAMPLE <br /> No o1 x x 9 E 'E E DESCIIIPTION CONDITION/ <br /> Sample ID Data Sludgy Soil Water Air cones m ¢ c� a c COMMEN t S <br /> ccs. �'— � � T, <br /> 1 r <br /> y <br /> I J - <br /> RtI!(tqulshed By t a ['6010 Name f] Date J t,�A�Irecolved <br /> nec ived iarur I Prin ame Date�"rtt�J�.t� _ Ilrne _ C U� �I EReil UIS si talars Print Name - _g Dale t Siignta I Prif dry e=Time 1LLIlS1 �mei shed (signature) Printed Name Date (signature) Inled lame Date i �+ <br /> Time Tr <br /> THE LABORATORY MUST PROVIDE A COPY OF THl IN OF CUSTODY W(TH iNVOICE AND RESULTS — <br /> REV Ut/B3 — -' -- --- - ---- __---- - � - _---_ --_ -- _ - — -- -- - ---�- <br /> Stirt 1 ( 11 MMPAIdY V1 MIN nr r 115 tnnY <br />