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COMPANY CHAIN OF CUSTODY RECORD Pate: �� <br /> SHELL OIL COM serial No: Page 3 of � <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST <br /> Site Address: Analysis Required LAB: -�� <br /> CHECK ONE(1)SOX ONLY CT/OT TURN AIR ND ME <br /> wIC#: �i <br /> - O S�d C} �- �.w <br /> . Mor,xor(nc ® last24non§hell Engineer: Phone No.: Ns Inrras144aflon 1441 to hours ❑ <br /> 7r--617 `� <br /> 6 17 Q .soil ClossIryrDkporat ❑ 4142 <br /> 5 r �`, 16 days �INorinaf) <br /> Consullant Name & Address: /lyq f" to <br /> Water4143 <br /> � � �. Claasilylbkr�saf Other <br /> Phone No.: = ` m Soil/Ali Rom of Sys. ❑ 4452 <br /> Consultant Contact: d O a M NOTE- Notify Lab as <br /> ©70 <br /> r Fax #: 14 7 Ur Q�a. '� w0`rte Rom.of Sys. ■Pan as Possl6la of <br /> El 1451 24/45 his. IAT. <br /> Comments: Other E) <br /> `C;P,1 � ° ��n <br /> Sampled by: o o o) o v UST AGENCY: <br /> to W �� <br /> Printed Name: c, w MPLE <br /> m o T r E MATERIAL CONDITION/ <br /> fL No.of z s w - o 4110 T 0 DESCRIPTION COMMENTS <br /> Sample ID Date <br /> soil Water Air conis. I'—' � m j � U � Q U °- u <br /> 15- S <br /> 3t7 1 /r <br /> rr <br /> � ( <br /> Printed Nam Date:� aaC elvod(slflnptuce): <br /> dy aslturro): Prted Name: <br /> Time. <br /> Print <br /> d Noma- r bale; <br /> Ro o � V <br /> Na Date: �S' Time: 7� <br /> Rg1gtllshad B <br /> wit ` 'Name: <br /> , c Time: <br /> Rocotvo (sgna ro : Prin NaWIN Date: <br /> e), Pr�r1t ` Na ` Date: d iTime: <br /> Re ' Li od B'I (tt �� �j nmo; !I `w <br /> l <br /> •Y A O+t I Cu,na. <br /> re <br />