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• Wt _• <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dale 100 <br /> RETAIL ENVIRONMENTAL ENGINEERING -WEST Serial No Page of <br /> Site Address J)o! J �` a Analysis Required LAB <br /> tLtk <br /> WIC# � CHECK ONE(1)BOX ONLY CWT TURN AROUND TIME <br /> _ <br /> l <br /> ` l Ofl OW Monkwing ❑ 4461 <br /> Shell Engineer ho No � 7 S (LAkL ❑ 1441 24 hOws. ❑ <br /> I 1 �L� k j She lnvssllpalron <br /> 1 V IB hoes ❑ <br /> Sam Olaesilylolspoeal El 4442 <br /> Consultant Name&Address FI ,(. waren 15 days (Normal} <br /> V__ L �Vl� [�.SI , co Classlly0sposal ❑ 4443 <br /> ����___ 4+ O1har ❑ <br /> -1 <br /> Oonsultanl Contact 1 i L pile No �`} <br /> C3, 0 6µr Rem a Sy. ,� ,452 <br /> �)�ki* L — ,ALA��� 1=ax # ��_SU at u Y NOTE Nally Lab as <br /> Water Rem or Sys soon as possible of <br /> to <br /> COmfneniSt` O- a ❑ CV `L O8M 13N53 24148lus TAT <br /> rl/ �� �.+ <br /> 0 0 Q til co Other ❑ <br /> O '0 <br /> to in c\I <br /> Sampled[zy� o o ¢ M in c m UST AGENCY.6A� 1OA-�t <br /> Printed Name �c h� w W w o c ° G g & MATERIAL SAMPLE <br /> No of z x 3n E c DESCRIPTION CONDITION/ <br /> Sample ID <br /> Dale Sludge Sod Water Air cones -co j `a ti COMMENTS <br /> (CA51 A <br /> IJP Ito 5 ut \A <br /> R ul h y(slgna t Date ace ad(s iur I Pri le Name Dale O <br /> G l`" Time Q Time O <br /> Reli uis By sl alure) Pli t Name Date 6tr, <br /> eived(sign ) Prinled Name � Dale <br /> Time Time <br /> � — r nt ams Qala <br /> nqulshad signature) Printed Name Dale ecelve (stgnature) <br /> Time I It <br /> THE LABORATORY MUST PROVIDE A COPY OF THIS CF AIN O -C I H INVOICE AND RESULTS <br />