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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date <br /> RETAIL ENVIRONMENTAL ENGINEERING-WEST Serial Na Page Ot <br /> s e dress Analysis Re <br /> L �b >� S' ` ''�1J Y Required LAB f 'UMI <br /> wlCn <br /> �-7�zC' CHECK ONE(1)Box ON1Y c7�D7 TURN AROUND TIME <br /> , <br /> IG W Monporing ❑ 4461 <br /> Shell Engineer phone No 7 — 24 nous ❑ <br /> IV Slis Investigation El4441 <br /> aX# 0 7&t-1 sou Classlr 1 48 hours ❑ <br /> Consultant Name&Address Lil o yDlsPpsal ❑ 444z <br /> Q 'PA LtS (oz! �wq— �f a0Water 15 days �(Normal) <br /> . TO 0 Classify/Disposal U 4443 <br /> Consultant Contact x Other ❑ <br /> Phojne No7 — I I� <br /> --� ,�i a1 p SoN7Ah Rom or Sys ax# m N m 06M ❑ 4452 <br /> Ur C1 °� NOTE Nottly Lab as <br /> Comments a un Water Rom ar Sys sten as possible of <br /> 0 W 0 O D M K 4453 24/48 hrs TAT <br /> 0 seSampled by ,r, in N 0 m fL <br /> s m east ❑ <br /> 4 O CO o Q o, 0 C <br /> UST AGENCY <br /> d a wPanted Name O oAN o <br /> ° � — - - -- <br /> LU w m o in MATERIAL SAMPLE <br /> No at x aC g! r ;i E - c m DESCRIPTIDN CONDITION/ <br /> Sample ID Date Sludge soil Water Alr conts j ¢ COMMENTS <br /> Dat t{ n P ted N Date <br /> l�I Time O ti irGL ,t��E Time /a JL01 <br /> is BY re) Name Date (s natur , n n tat N j� ►f , <br /> L 4 rime o LJGGLMf-r W D-Freme <br /> nqursfted By(srgna j Printed Name Date Received(signature) Panted Name Date <br /> Time Time <br /> THE LABORATORY MUST PROVIDE A COPY OF THIS CHAIN-OF-CUSTODY WITH INVOICE AND RESULTS <br /> REV 4/1193 -- — --— <br /> SHELL OIL COMPANY CHAIN OF CUSTODY <br />