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.... .�.. .■ mmm = r M1111111111111 <br /> Q07SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dates: /T//3/.) <br /> RETAIL ENVIRONMENTAL. ENGINEERING - WEST Serial No: Page of <br /> Silo Address: <br /> y 4 ih UL1.0 Z �LA- � «-n, Analysis Required LAD: <br /> w1cf: CHICK ON(())SOX ONLY CT/01 [URN AROUND nut <br /> Guod.dr Mahl.Mg l l RIII <br /> Shell Engineer. Phone No : '513I IaW. L I <br /> v [fir- ► R ]Fa6Ix #. <br /> S-6146_ 13 o SR•inr..nodbn RII� r <br /> IR Noun l <br /> Con�sultant Name & Address. S sorC"Or/0rp-.�i ( ( 6II7 <br /> y <br /> 14 days I)CIN01"Vill <br /> Wald <br /> Consultant Contact. Phone No. 9160-- 0 c+awwlDl+p�.a� [J oln.l t 1 <br /> '7 g2--'d11 a q ao A RR 0an soNtAi R.a►ai Rt. ❑ RIu <br /> d <br /> y) HOLE Notify laG as <br /> Comments: Q OR"Water Rom or!ra p 640 SODA ro"swo of <br /> 21141 Are IAT <br /> T61 IL <br /> Sampled by: ��`iTQ Z:i c m ;, } <br /> C3 Le <br /> SAMPLE <br /> Printed Printed Name W m o 8 MATERIALCONDITION/ <br /> DESCRIPTION <br /> Sample 1D Dale Sludge Soil Water Air tfo of s r U o a COMMENTS <br /> Corals � V it U <br /> S� l ady9 I <br /> 'PL- I%- I �` — A3 <br /> i <br /> R ed ( n e) Pltnfed`a 10 Date Received(signature) hinled Narrw pale <br /> R ed By(Rlgnahre) Filmed Nome pale Received(slgnaiwe) hinted Nanw <br /> Time <br /> RoUnqulshed By(slgnalure) Prinled Name Dale Rec ed(slgn Prinled No lbte I <br /> — --- Time —- 17rTle <br /> 7 d.. a 4CWw. <br />