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ITO SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Da1e•�� ? `f �� <br /> RETAIL ENVIRONMENTAL ENGINEERING•WEST Serial No : Page o1 , <br /> s)te Ad re", ��� Analysis Required LAB: S�y 0]X <br /> � <br /> ICO: <br /> " [ ECK ?N (l)B0IOLY CTAdT IUR!AROUND T11e <br /> r2p�-� �2 , <br /> ' <br /> Shell ng neer: ha a No :61 S-fal� QW Monkoft ❑ "01 <br /> 'l O <br /> 41-WL ,o—7 - Z eke Inmilgallon ❑ ,,,t z,Clow. <br /> ax <br /> Consu taM Name>!i Address:F t) w S1` I o <br /> .cia"4110wod ❑ 4442 ,e 1uw. ❑ <br /> N 15 dmgllgl) <br /> SD fLoL 5-1 V I , Q S-61? a nrlot�ao•d ❑ ,,,3 olll.r ❑ <br /> uonsulwAt u6nisict: l6 a Na: B - tD g G N ur Rem«sri A,162 <br /> Lob as <br /> Comments: -1-, D r w,t.l llerlt a sre �„tt:;,HpaIt <br /> : o a M ❑ 14s] sws r.e tett <br /> 1, + 8ea y: olnrr El <br /> c a UST AGENCY-.S 't <br /> P nted ama• [�. a d O` ". <br /> Go 3: MATERIAL SAMPLE <br /> Sample ID Date Sludge Sol water Air No. _ DESCRIPTION NJ <br /> canes � � t— 8 � COMMENTS <br /> -CR 30 <br /> O <br /> 3�- <br /> 1 <br /> Rating`s «hed�r(elonfnrrd).`��'- Pd Name Dale i cr j ecNvad[slQnalunp printed Name: Date <br /> � <br /> L T k�iJThe n7 <br /> Reltnquiehed By(elpnature): Prfnled Name. Data. ReWvad(eipneture)• Printed New Time: <br /> pate <br /> Time TkTime: <br /> Hellnqulahad By lefpnature)• Printed Name Date Racal (elonature} nle ante•! Date. /a <br /> Time• / 'S- ��f ni O—A.*— Time <br /> THE IAHORATORY MMT PRoNIRF A ropy OF THIq rtl AIf t Mr, IRTf1TtY NrtTFI IFlrrr}trF e"h t1FC111 TR <br />