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! • i <br /> 01 SHELL OIL COMPANY T CHAIN OF CUSTODY RECORD Date- <br /> 0 <br /> RETAIL ENVIRONMENTAL ENGINEERING-WEST serial No . ge i of <br /> 81te Address — - --- <br /> � _ � —p—,-E __� Analysis Required LABS_ $ o�� __— <br /> O 2 1 t `_7 S�4—I �n CHECK OM(1 BOX ONLY CTipT TURNAROUND TIME <br /> � i� -�` OW hlaelndap FA met <br /> Shell Engineer P �s l�D� ( twuwastoRan El 4441 24t=e A�7 61� sort rta��twtn�oser ❑ �a� 4a' [ ! <br /> o Consultant Name&Address:,wl5--- N tsdAr 1 tNxn,oa <br /> ww <br /> D _ Io0 �%nt cls )8 , ctaa�tyrotpasat ❑ 44a3 Otha L —_ <br /> t oC nsultani{ �� Phi No�to .. Ro�yAlrROMarsye <br /> 1[ V - Q. ty�y� I o s lA aas7 NIM:Nmov Lab as <br /> to <br /> CO117frlefllS. t1 Wal6r RirA 6r Sys "OPIAt pC1lIbR Ct <br /> Q n a IA an 2"Im TAT <br /> ___w <br /> lufu— c a C } UST AGtENCY•�Ad :s$ �3E. C <br /> Printed_Name• w o c — MATERIAL SAMPLE -- <br /> Sample ID I Date Sludge Sop Water Ali No tom,St pp�� Eq p DESCRIPTION � Emm <br /> F- y h cJ V <br /> 1---PF 1L <br /> -- - -- - -- - - ,- ------ - -, �4.Z�G <br /> 0 - <br /> 0 <br /> CA <br /> M <br /> LO <br /> W <br /> J <br /> r1 <br /> H <br /> _j t-h quls d By(il n r© Prfn(W ain gate' NO n- yea(a nalu eyy - -- -- -- Prin Nume — � to -r. <br /> cr <br /> Squlshod ;slgn tore) Pd ted Name Date"7 ted_�C f Kel nal-Of tate !+ 3 <br /> Th* <br /> i;allrlqul5hed BY;slprtaerr©1 i nae Nana Date , - Fteee,ired(9*nature) rN Imes Nunnflare <br /> --- <br /> C3 �F. THE tABORATORY MUST PROVIDE A COPY OF THIS CMN OF-CUSTODY WITH NVOICE AND BESULT5 - <br /> LLl REV ar143 - ---- KNELL Oi COMPANY C4AW M CUS tOD <br /> 0 <br />