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I <br /> gra, SHELL OIL COMPANY CHAIN OF CUSTODY RECORDDate /4 +� 4 <br /> RETAIL.ENVIRONMENTAL ENGINEERING-WEST Serial No • Page of Z <br /> Spa Arens: ` Analysis Required LAB: 5EgU DI k <br /> Ci -0l ` CHECK ONE III BOIL ONLY CTrtlf ;URH AROUND TIME <br /> y_1 r 52 4 r I S-01 I <br /> Shallnfl neer: hNa �.bla � O.W AonanQ 416! <br /> 24 hms ❑ <br /> L-400 w w-4— shomnat4a,lon 4441xd — ,e how. ❑aBaiCl.aanrspoaal 4442 <br /> Consultant Name& ddreaa:Ft y4 t7 ST' L a U <br /> ` avatar 1a dw <br /> 5•D L L STt V 11.1 su* co CI,eaHYrDl.po.d ❑ 444s ❑ <br /> Olh.r <br /> oonsunwil <br /> da : J J�jh� a Na : B2-� t� c �v O MR ❑ 4462 <br /> Su.�� kR* rAtA 0V,k x NOTE:"gill Lob as <br /> Common e: W ti O a� r N �I r� a iirR•�n.r Bf� u6s z 11�.,�°�A�b°t <br /> >< � _ � ❑ <br /> � au,.r <br /> may: $ � � m <br /> a CUST AGENCY--S IJ <br /> HiedName;- t 3 b I SAMPLE <br /> MATERIAL <br /> No n1 = Z E CONDITION/ <br /> Sample ID Date Sludge Soll Water Air cotta � S ©ESCRIpTION COMMENTS <br /> Sf of SIS l �' _ ( Ly, r -7 <br /> •1i � I 1 ..• Y r. \111 - rl '�' 1 w •f � <br /> he� <br /> 1`160). J_ P,T N N � f Delete i y necelved(tignature) Pointed Name Dala <br /> 1_ (�l Time 1 0,2 1 time <br /> RaiNqulehed By jalenatuml. " PtInted Nam. Dau neceived{elpnaturey Printed Nacos Date <br /> Time ici <br /> ime <br /> Rellnqulahed By(alpnsture) Printed Name Data nec ved(slpnatu�t) r me ame ate <br /> Tone MQ Ad, im _ <br /> THE BORATORY MUST PROVIDE A COPY OF TEAA MTt7r1Y WITH INVnlr-1: Atin n1=4'111'Tv <br />