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604420 <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dare: <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No: Page 'Z of <br /> Site Address: Analysis Required LAB: <br /> 3q I � ; Y q AA)gi y-rrcAL <br /> WIC#: CHECK ONE(1)BOX ONLY CT/DT TURN AROUND TIME <br /> oIl - 5 2 O <br /> Shell Engineer: Phone No.: G.W. Monlloring ❑ "61 sl hours ❑ <br /> SH*Inverligallon <br /> -�r✓F F ,eANl3��K Y Fax#: 11 �e hours <br /> � <br /> Consultant Name &Address:ii P 7- Soil classify/Otsporal ❑ u42 <br /> Go F_ vayi 177 -wD <br /> EAmI394A ENVi&�,)m60TgL INC. x Water <br /> — w Clarsity/Dlrpotal ❑ 4M) <br /> Consultant Contact: Phone No.: 0 m o Other ❑ <br /> N 9 an rJ Soil/Alr Rom or Syr. ❑ uss <br /> COTi AC.LGOD lFax #: o a, r O&M <br /> 0 0 Q rn NOTE: Notify Lob as <br /> Comments: N w C) O!r Rem.or Syr. ❑ "53 soon as Possible or <br /> 44/I8 An. TAT- <br /> 0 O .1p H y <br /> 2 2 _ 0 CL d Z Olnor ❑ <br /> Sampled by:�r a_l p _T &'7-fes-N5 "' S R N <br /> co0 c) a o c i " � � UST AGENCY: <br /> so aD Or n 0 1` N <br /> Q O o it N <br /> Printed Name: W W v 0 o C C(1 o c o <br /> L- •- 0 d o oa n• MATERIAL SAMPLE / <br /> I t s No.of x C E .0 c E CONDITION <br /> Sample ID <br /> Date soil water Air conts. m U Q U U DESCRIPTION COMMENTS <br /> 2111 /I"qD X 1 x x X 6041811 U 9 014 <br /> q X I x X 6041812 <br /> s- $ (5r5) iZ 3 X (D <br /> _s °r o) I z: X �( 6041813 <br /> uish ( gnaltue);-- Printed Name_ Date: t� Rec ed(slgnalure): Printed Name: Dote. <br /> CY, G1S - I <br /> Reiln By sig of o : Print (lame: Date:'{•x ". Received(signature): Printed Name: Date: <br /> i Time: L?1 Q <br /> Time- <br /> Relinquished By(slgnatu a): Printed Name: Dale: Re (sig at ) Printed Nanje: Date. <br /> Time:_11-A_1A ORATORY MUST PROVIDE A COPY OF THIS CHAIN-OF-CUS ;EAND RESUTS <br /> t, s Jo_ Time: <br /> "osCM wu.", <br />