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H' 7f!'Nkkal�FV i-'/rr'r.ww <br /> SHELL OIL OIL COMPANY CHAIN OF CUSTODY RECORD dale <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No: Page Of <br /> Site Address S fTLI � , CA Analysis Required LAB' <br /> 620 w CI Ix4w w&. _i <br /> WIC, 'z v � _ -1 S I L Lt U r CHECK ONE(1)BOX ONLY CT/DT TURN AROUND I1ML <br /> Shell Engineer l Phone N`7o Iu X85 I'K53 QVittletIy Monitoring 5461 24 hours [] <br /> 'txv� �k i lav' Fax it ;IV (y�S 3 43 Site Investigation ❑ 5441 48 hours (] <br /> Consullanl Name do Address' 1'4 V[.4tDCLi ar YI`G FGk � Soil for disposal ❑ 5442 15 days (Nornlnl) <br /> Water for disposal ❑ 5443 <br /> �i' V 1 t k5 In C . Other <br /> n kic, l �u ElConsultant ConlacL Phone No 911 6;Q4;,g Au Slunple Sys O&M 5452 <br /> C O�` 13 n OM n VI P. Fax k I[ 16U V� i5 Water Sample Sys O&M [] 5453 NOTE Notify of ac <br /> i`• � �^l � soon as possible o! <br /> Comments- Other `] 24146 hrs TAT <br /> SAMPLE <br /> Sampled B d Q 8 MATERIAL <br /> p r � A � � CONDITION! <br /> Pruned N e Jug tj &lLk DESCRIPTION COMMENTS <br /> ta <br /> Sample ID Date Soil Water Air No of <br /> P conk <br /> f/ !� qv <br /> hA, <br /> T-F <br /> �C 1� <br /> s y Signa e). led name . 6ii JJ Date: Re rved tgna ) /,/ ted name// Date <br /> vV Tune: `�LG�gl7�( Af �i.l%r(�' � {/ 1/I L�, Time- <br /> Date, <br /> ime <br /> c1' ulshe 8y (s' nature) � t�e1d nap�ie Date' ceived( n Fruited name Date / Z i i z <br /> .4 1r `/ - fes/cY (( �'l alvtl Timcl C7� 7� Ttmc� ' �(/ <br /> IRc ingnished By (signature): Printed name, ate: �d-R-c--cey=i=v=psi nature) Pt in ed name tate <br /> Time: , a , rc ,..S imct _ �rjl <br /> THE LABORATORY MUST PROVIDE A COPY OF THIS CIIAIN-OF-CUSTODY WITH INVOICE AND RESULTS <br /> LRKI <br />