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SHELL OIL COMPANY CHAIN OF CT( YVECORD Dale: '3-31— coo <br /> RETAIL ENVIRONMENTAL, ENGINEERING - WEST Serial No- Page ! of l <br /> VeAddress: �� w Sfnc(� Analysis Required LAB: SCA L&OI �.. <br /> . I CIIECK dt�E(I)60X O111Y CTIDT 1UR1I A�OUNAROUNDTIME <br /> P C42d-413 6 l H <br /> 'Cter, p l c w Montlorinq ❑ u41.9 b`79 f0 l 0 1ST' 24 hour ❑ <br /> SheltEngineer: =Phone <br /> Mllnv.►llga!!on ❑ 4441 AshounK&" Pt h l:t rT% o 0. <br /> 00 Consuilanl Name&Address: <br /> (J g Q soft Claselly/Dlsposal C] 4441 16 dare plormal) <br /> t GAMdR1A Q&p4VjKo9tAdf-J%TA-L. ' {,(.1lVOL�CaY�114C.- av wars <br /> Q O. 2 No CA T f ctaeelry/u&poeol ❑ 4443 olh.e ❑ <br /> Phone No.: r v sonlnlr R.rn OF sye <br /> Consullanl Conlacl: CIO)9ss_�s�9 o s M ❑ „�� <br /> v u0i to si3 )tOEEi lrorlry lob or <br /> Au15MY COOL- Fax #:tw)9x-i,4+9 � � Q n{ � � wal.f Rom.or Sre C3 "63 soon a1 Poulbl.of <br /> 0 0 {V Q- la+ co w O 6 M 2414E hire UT <br /> Comments: o <br /> 0 b v w Z Olh•e ❑ <br /> p CH F- 0 <br /> Sampled by: A !'+ - r Ln— a ° ° N USS 'AGENCY: <br /> w co '^ O K <br /> a s a 0 o G "o SAMPLE <br /> Prinled Name: W w e d 0 z a1 I] 6 °- MATERIAL. <br /> .. a E CONDITION/ <br /> No of x a; m ° r U Q U V DESCRIPTION COMMENTS <br /> Sample ID Role sludge Boll wafer Air conts > <br /> 3/ <br /> 30 <br /> T) ig I - <br /> D- ID — <br /> x TI) <br /> f{ecely (sl n f e); Ptlnfed a, Dale, <br /> Re! UIS ed By(signal re)n• Q Prl hll�ed Name• l]ale' 3'31 0_, U6, •,,, <br /> � lima: 300 Ned (s Halo e)' P ►led am dale• •�fl <br /> lRell*dsh9d B U ): Plln►ed Nam � Dale ?r <br /> Byell /lu r-� lime; , ,/L •� lime, <br /> Dole- Received(slgnalure): Pr.1ed Name: Dale; <br /> Refingdshed By(slgnalure): Ptlnfed Name: lkma: <br /> Tlrne• <br /> 0 -CUSIODYWHIIINV910 AN ;U n,+aor►�ru.�ou <br />