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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date: Ct <br /> RETAIL. ENVIRONMENTAL ENGINEERING-WEST Serial No.: Page of <br /> SJte Ad rens: Analysis Required EAB: SEGQuoI A- <br /> l E t a _ <br /> IC/: C 1ECK ONE III BOX Cwy CT1DT TURN AROUND TWE <br /> 2oA <br /> I <br /> O.w t,{oneallny ❑ s4e1 <br /> Shell np neer: RO NO V15�-btlo�{ ss.tll»ngww, ❑ Ott e`bml ❑ <br /> I...L N FJ W SL .0 - 4eNol.a ❑ <br /> 6aeCMu�Ar101apoaal ❑ �z <br /> Consultant Name&Address:F� 5 w S1' N to days mwi <br /> L OD wow <br /> ' D1t ❑ 4443 oilw ❑ <br /> consultant contact: AA kaN.-I66--la NO.: B - to c 1 N BW Ram or SysN�'rAL A Nk� D �' NOT6►our�94 <br /> t ( Q sn Walar Ram or Sys. saon as M jbh al <br /> comments:Sip O = 094 ❑ Nay 14148 to TAT <br /> Ou>.r ❑ <br />` t amp o y: v- � m <br /> 0 m 0.0c -� �- UST AGENCY.-S 1 <br /> a 4 10 10 <br /> cn <br /> -FrInted atm*: SAMPLE <br /> L � � -D � MATERIAL CONDITION/ <br /> Sample ID Dau Sludge Sol Water Alr <br /> No.lF= _ �� � DESCRIPTION COMMENTS <br /> .7—n <br /> ti L;fyV\ �rlf'C}Ji <br /> R� tAs e9Y{ grrel 3 n N Uyl � t Dale. Racaived(slpnaNra): Pliruad Nam.. Datta <br /> �..:.... N Time Tlme: <br /> Fietlnq shad By(619MUre): Printed Nana: Dale. Halved(slpnalwo): Printed Name: Data: <br /> Time. Time <br /> 110qulshed By(slonatUrel: Now Name: Date. Recel slpnalurel: t e, Data. <br /> Time s 't - Tuna. 30 <br />