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SHELL OIL COMPANY iAIN OF CUSTODY RECORD Dale:4-rg-q <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Sefial No: Page of l <br /> Silo Address: 6k..- Analysis Required LAB: U ork <br /> WICK: 20Y 75-2 ([�1�50,!� CNECI(ONE(1)SOX ONLY Cf/Df YU911 AROUND TIME <br /> GW rAonRadn9 ❑ t4+r 21 hours <br /> 11 <br /> Shell En er. Phone �1b <br /> 6�f S�J i SSa Inwadlpollon ❑ IIi1 11 hours ❑ <br /> �Q s-a.ln ter fax(f: 2 <br /> Consullani Name &Address. soS ClauUy/Dbposal ❑ u11 15 days (lrormclr <br /> ao <br /> a }� Wolof <br /> r' i clastuy/abpoial ❑ 111] <br /> OIho1 <br /> Consullanl nl I: Ph*f],S _ N m soil/AlrRamarfy9 <br /> }� J� Fax #:a w oa of D 8 M ISS] <br /> p 1101E HoIGy tab of <br /> (f 1walar Ram or sys boon ai 8oldbla or <br /> Comments' a p o w O R se c] "s] 21M1 Au 1A1 <br /> • U <br /> 4 Z Dlhor ❑ <br /> p N <br /> Sampled by: 1,r/J E� bl�.6 <br /> C) co m a o UST AGENCY: <br /> to co <br /> 1 v�A, VP <br /> NPrinted Name: Q Q a a c a N SAMPLE <br /> W W a A a 0. MATERIA! <br /> x E °f e. CONDITION/ <br /> No of x x w y a o m o DESCRIPTION <br /> Sample ID Dale Sludge Soil Wailer Air cauls M r m j °1 U d U a U COMMENTS <br /> -TT <br /> r IT4 <br /> All ►r — — <br /> M= .. <br /> a a): Prl no: r--- Date; -13- Received(slgnaluie) Pdnled Name. Dale <br /> imo• e' <br /> Rail =9datm). Printe am Date. 4 calved(signal ): Milled ame} Date; r <br /> �' lime• �i• c, G.�r� Time: I. d <br /> Re lncqulsh9 6y(s gnalur ): Plinted me: Dale: 1 Re Willa); Prl led Nairn Dale; <br /> ,mss G u 11me: limo. <br /> ANION, 1119 LAMRAIggy U Oy pE A coPY-OF HIS -CU O U q g <br />