Laserfiche WebLink
` �Y CHAD OF CUSTODY RECORD Dole: lis /�tG' <br /> SHELL OIL COMPANY Page of <br /> ( Serial No: <br /> J RETAIL ENVIRONMENTAL ENGINEERING - WEST <br /> Site Address: Analysis Required LAB: <br /> / / /'rG•rJ <br /> { �+y, CHECK ONE(1)lO7S ONLY CT/0T TURN OU D TIME <br /> tl�rIliif: - <br /> © J Z � C: g-o� G.W. Maniforinq ❑ ",&1 44 hour - <br /> 5helt Engineer: C/ Phone No.: SNolmstllgotion 4441 Id hovnfff�❑� <br /> rS/O-G��-G 7 <br /> `ax g:A- �E �7 C $oil Cl034lfy10kpolo! ❑ 4142 16 days EJ040 <br /> Consultant Name & Address: /i v4/ 6 r/' 7 C n Wcd.r <br /> / 6 CtassifylDlsposol ❑ 4443 01hrf ❑ <br /> Phone N o.• t m 1 Soil/Alf Rom to Sys, ❑ 4452 <br /> Consultant Contact- to v7o� � O&M NOTE: NolifyLob as <br /> Walat Rem,of Sys. soon as Possibleof <br /> Fax H - GIL7 0 < ❑ 453 24/46 his. TAT.� r O&ME <br /> Comments: v -d coVF X Olhof El <br /> L/%eG`C Iplr1p� C g f` N n >_ <br /> T L :2 QQSampled�y: o <br /> a, <br /> UST AGENCY: <br /> a aDrn <br /> aQ . l =- <br /> to <br /> o c 15 o T <br /> J-? / a s V m a d rT CL MATERIAL <br /> Printed Name: 00 1/ L v a► 1z N/ <br /> / A a o DESCRIPTION <br /> t` No.of x s �nE <br /> N aC NTSS(]inl]le I© Date ° 5011 water Alr conk. >L 'Q rs U <br /> & y <br /> 16 <br /> a �G <br /> 01 <br /> f f I'/_3 <br /> 30 <br /> r Lj 6081147 Z �-1 <br /> 6081148 -7, 1-1 <br /> V3V R d(sl nature: Printed Name: Date: <br /> R°II Y(si Helot°): PTI ed N Data: �� ,t)� ` G_ e. • < <br /> . � Time <br /> i,r/ Ra a Prin a Na /�-, Date: <br /> Printed Name: f/ - Date: ` ynz(, Time: <br /> R°Iln ulshe�i$ nature): Time;7 Dale: <br /> Received(sign re): Prinled drTTe. Date: <br /> a <br /> Printed N flm°: <br /> frryor 411 Time: <br /> Oc-l—, <br /> 1� � � r r I 2C� •, <br />