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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date <br /> RETAIL ENVIRONMENTAL ENGINEERING-WEST Serial No Page k_ Of -k---- <br /> Site Address Analysis Required LAB <br /> WIC# — — f — <br /> Zv CHECK ONE(1)Box ONLY GT/DT TURN AROUND TIME <br /> Shell Engineer / � C' ` — ph.p`e No�j�—�,[ '-` GW MonAwinp [ ] 44s1 <br /> lAtm o ti �}1�-Uc?£� U Srte lnvesllgation �� 4441 24 hours I� <br /> i•. ax ae hours C7 <br /> Soil Ctassily0sposal 4442 <br /> Consultant NAa�{me& Address��` �� N 15 days {Normal) <br /> IJi10>L]\Szf. �*J� ►�a-��V+ 1 � X Water Y po <br /> �► Water rDls sal ( I 4443 <br /> onsullant Contact hone No - k11s Other C] <br /> w SalrAlr Rem or Sys <br /> o r <br /> n�_„L � a#���16�u co m04 <br /> 68M 4452 OD ad NOTE IVotdyLab as <br /> Comments �1 0 Q to Wager Rem or Sys soon as possible of <br /> V�hprr ��Sk � v J A 0 0 a 0 DaASI U 4453 24148 his TAT <br /> L 9L7 O O <br /> w W co <br /> Sampled by � � a D aner <br /> —� U <br /> Q r QC m fA <br /> o a Q M _� `o 5-, UST AGENCY�1'��iI,0 <br /> Printed Name`r�e-f— — — w ua_ w O� � � o c � N —---� — -- -- — -- <br /> -- X JO in ro F MATERIAL SAMPLE <br /> Sample ID Date Sludge Soil Water A1r No of a a uj o 0 a CONDITION/ <br /> cones m > Q C3 DESCRIPTION COMMENTS <br /> 17 <br /> 0%14uished <br /> is ed By t at Prl to Na 0 1� — Dat Received(signature) Printed Name Date <br /> �— _ _ _ _ Time _ <br /> By(signature) Printed Name Date _ Received(signature) Printed Name Dale <br /> Time _ <br /> _ Time <br /> He4inquished t3y tslgnature) Panted Name Date eceiv �� — PrintP,d Nam Date L�: <br /> Time _--- Time <br /> THE LAl3ORAlORY MUST PROVIDE A_COPY O D?Oy ' <br /> � _— — F THIS GH IN OF CUSTODY WITH INVOICE_ ND RESULTS <br /> REV 41/93 -- T — SHELL OIL COMPANY CHAIN Of CUSTODY <br />