Laserfiche WebLink
SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date: <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No: Page 5' of <br /> Site Address: Anal Required LAB: S---c L c)uq ANA L-T r 1 r:.A L, <br /> 341t E,asT �'o Analysis q - <br /> WICf' CHECK ONE(1)BOX ONLY CT/DT TURN AROUND TIME <br /> Shell Engineer. Phone No.: G.W. Monaoriny E] 446124 noun <br /> 16 F F /2A N Q i✓2.(L SBo lnvestlgallon "(Fax#: o T 4e noun El <br /> Consultant Name&Address:114 y lass f I C g f Soil Clossity/Dlsposal E] u.2 <br /> CfiM 21A EA)v1 0 A�. TEC44 C. Co <br /> x O ltidays , (Normal) <br /> Water ❑ �� <br /> C L" � Classlty/Disposal other ❑ <br /> Consultant Contact: Phone No.: sssN��� <br /> r^ S oD 00 * O il Mr Rom or Sys. ❑ N52 <br /> SCOTT M ACLt✓OD Fax#: 0 Q so ed r NOTE: Notity(ab as <br /> Comments: o. Water Rem.or Sys. use soon as Possible of <br /> .d N .0 Co 4 O s M ❑ 24/48 An. TAT. <br /> p= Q d Z Other ❑ <br /> Sampled by:,-p,4,,-,, i. G trT e rJS an - o o 0 C J N } <br /> 0 0 rn n. o fy jz o a) UST AGENCY: <br /> 0 f3 <br /> Printed Name: W W W °' `o n Q 0 o o n MATERIAL SAMPLE <br /> Sample ID Dale `studg. Soil Water Air No.of a a � o o a ° o w o DESCRIPTION CONDITION/ <br /> conts. 9: m > IT U i Q U n U COMMENTS <br /> X — 1 O 4 2(j 3, 15- <br /> X - ( l2 3., 1 '�- X i Clao�p <br /> k _ t q ` NOL0) <br /> x k X x 6041823 <br /> K 6041824 <br /> 1019 04 <br /> uM B nature):` Prl N rTTe: Date: etved(signs re): Print Name: Date. <br /> - <br /> Rel By(sl n ture): Prl N rn^e: Date: 6 s 9 Received(signature): Printed rile: Date: <br /> 111Wv ,— Time: I 1 t: c Time: <br /> IlZeTnquWied By(sl nal re): Printed Name: Date: Rece Hato Printed ame Date: Cj <br /> TITTw: Time: 10 <br /> - Met aw,aa.eor. <br />