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I~a_ CHA11V OF CUSTODY RECORD <br /> SHELL OIL PR;ODUC,TS COMPANY <br /> Date esu s o .r• <br /> �j / a consult r Page of <br /> 0 7 5-1 z q 5`0 ! 0 Ll 1 l z f P Shelf,,, <br /> .,vtr ! w,__ • MASS TYPElDETAfL 7YpE Select one onlyi <br /> {� A Q SieInv�s}I(4441} WldRefnlSy'�' <br /> Al ';M-9d xalUL M, w r a L� t� `r C r 1 ' Jy . r•+ r 7 'k,i� d <br /> t , i r + Q Sail CIai fsp{4442) ® G V14 tJ�Oh or' <br /> i ' <br /> AI 3 d Cfi l�f I ,i k :LYRA!]t]ta` �•C.J Illlh Select OAA ORI y' F '� " , ""� 1 �'� 4 'r <br /> 24 hrs Q 48 hre Q 18 days Momuli Q y i �'Yl�lt Clas/dldp 44+[3) i Q Ol�i�� <br /> Older �, j- y� _t- ,r <br /> �' a .�T Zl�Y 1, ±• N�k" r i .. r , : 1 �� f' , • • .Q,50 II r Rerl$yd <br /> ,r. , Anal slis Re uired ����r ,�i•�rka �>,A* � � �-.. ,.... <br /> '11h Time Y -- -- <br /> Z 1 ` <br /> SAMPLE MATRIX"' l,p+, "�'SeleC#oneo�l <br /> 7' a y 4 r rf , " x' '• � ej <br /> ®w ter 1 r i �JjlrF'nL° �yy {Ui�g@ p�C{f S ti <br /> y�{�y++�Nty1�v,�}1sr7yL v it S 4 r JJ }��--/yl�� C_ II) iJ,C�4 <br /> S O �F 5 •Y D L. T 1 s A O <br /> .-. CL <br /> . _ .i. L ,�. " yc��v r: , uE~i ^ Q o r? a Z LAB USE ONLY r <br /> UST r E r 0 u1 chi N C <br /> o a r ? `�' Lab Tracking No <br /> Agency Sample Time z m °� m 4" 7i a y <br /> Field Sample ID (military) E _ _ x _ = a. o 0 <br /> i 0 s C C r" a M m !-- a, n n. [C m O ami - Sample Condition/Comments <br /> I <br /> U ¢ U U h P 2 in H P P H 2 > 0 O <br /> a 0 3 <br /> P, W — Z 1 ; y {] ® db —3 Q I CL rl 3l <br /> , <br /> 0 (904 <br /> f Ire) l„1 — <br /> , <br /> I Cooler Temperature ' <br /> E ' all <br /> �y I <br /> Material Description <br /> And <br /> Re [shed ( gnature) Printed Name I DateI l l -e l ;i r1 R e[v y( gnature) 1 Printed Name Date !` Z cl •l�� <br /> 5 � Timle to"r►Q; ' It,vi w v 1 1lle- Time <br /> M Ilriq By(signatured� 1 *� 2 Date (signature) Printed Name Date <br /> lie <br /> �LI II <br /> N Time <br /> �� Time <br /> co R d By(signature) Printed Name I DateE ecelved By(signature) Printed Name Date 2-(119 <br /> DCS W N S Time 12 3 ) <br /> THF I MIORA RY MUST PROVIDE A COPY OF THIS CHAIN OF CUSTODY WITH INVOICE AND RESULTS 11 SNELI CHIUNOFCU5IO <br />