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—� SHELL OIL COMPANy CHAIN OF CUSTODY RECORD Date <br /> RETAIL ENVIRONMENTAL ENGINEERING-WEST Serial No _ Page ai <br /> I1 ti. EL bbMb ';T&_49:M0 Analysis Required -- LAB �Q��1� —— <br /> rHECK CNE(i)8Q3(ONLY GT+DT rUfiFl ARpl1NUTI14E <br /> 2 75_AGW Manncrtng L7 4461 <br /> all Engineer kho atJo*']5-= ti . seem�srarwat ❑ 4,uxan s El 44 46 Doui0 I <br /> lax <br /> 15tbant dame 8 Address Gsls 1541arn fNarn%* <br /> 00 <br /> 1 Water <br /> C4asuty <br /> I V� {L� _—�—Vt' VJ�C} Qlspo6al 4147 <br /> ( Other n — <br /> W <br /> Cl a mt Fr6irl or Sys <br /> msullant Conrad ho $1Vo�F,�` ��� ¢ M o a ra -A 4452 <br /> � m scan <br /> Not!bfi an <br /> Wier qem or 3ya sten xs pns ale o1 <br /> hC 1 4 r Q6M 4453 21rlOIn.TAT <br /> 01hu 0A <br /> cv <br /> am led _ a o m ux c UST AGENCY'-- _ <br /> P bYC-x. m _ — <br /> to 0 <br /> r rtnted Name st-� L� IN _ s°tt w_ w o ` <br /> MATERIAL <br /> SAMPLE <br /> - -- r. $ CONDIT IONI <br /> No of � a E � � � � DESCRIPTION COMMENTS <br /> Sample ID Dara sludge Sol waist Air Stu m y F 3 a a _ — — — <br /> { t S3obol 3 I AC <br /> li— U--By{Sigtea` --� R si pyOite_U L419_ Printed h�ame 'hl — --T+me1{C: VIJC_t _ 1 <br /> in4khod By is gnwurelrtrt—tadNNaamaa Elate — rt�tved{signature) Pclnkd name Dare — <br /> Time _ _ — — Tlme _ <br /> ilermptlshed Ery{s�gnalurej -- -Panted Ftrirtx3 — - - Dal Rrsoetved(signature} Printed Name Elata -- <br /> Trme — — lune—-- <br /> - - — - - THE LABORATORY MUST PAOVIDE A COPY OF THIS CHAIN OF-CUSTODY Wr H INVOICE AND RESULTS—! <br /> ---- — SHELtOtICOMPA.40CHAIN OFCUSTODY <br /> nEu alas <br />