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i • <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date. lk <br /> RETAIL ENVIRONMENTAL ENGINEERING •WEST Serial No - Page V of <br /> SleAddress: 1 Analysls Required LAB- 5EguD1A- <br /> WICaa N <br /> cHEcic ONE pj sox ONLY crror TURN AROi1ND TIME <br /> ' O W Monlortng ❑ 4401 <br /> Shell Engineer: <br /> � 1hhj � S-blc24 hon ❑ <br /> LyN [ � sr.m,sdpear Cl 111 <br /> Fax <br /> W S- L sou Ctausuv0sposw ❑ 4412 1e hours 11 <br /> Name&Address'Ft-4 D t..� t o d <br /> N t8 dap K(Nor-gl <br /> 05a FL^�IJ L-A STS � V iUl- Slo1� clas.Byrolaposat ❑ 4443 <br /> Other ❑ <br /> ConsultantjContact:n hqe No 82-2t1� -- � SoilAlr Rant a sp <br /> `t7yOL cx�. PP— I K 183 m 04 m ossa �145x <br /> � ad HOTE Notfy Lab u <br /> Comments, O to Wets Ram or Sys soon as possible d r <br /> -1 - ` o I O 8 Al ❑ 1153 24118 hs TAT <br /> �F N � V 2 2 a _ � Other ❑ <br /> Sampled by, u' `o N `° <br /> 0 � UST AGENCY-S" AQUI iJ <br /> CL <br /> Printed Name. t!L a. nom. LU O o m — - - - <br /> w to m o . 1 SAMPLE <br /> .� MATERIAL CONDITION/ <br /> No �' DESCRIPTION <br /> Sample ID Dale Sludge Soil Wetar Air contel ° r " a COMMENTS <br /> lN� t� S xL75rFaA SixL4 P- <br /> (� <br /> C-�- Dgtos <br /> r <br /> Rel! hod Py(slprtattrr Printed • , Date kk "1 40cohled(s no re /J Printed Name Dale <br /> Time 1G '��L� f 1) Tkness- <br /> I uie y ] Print ame Data / Ived(slQnatuie) <br /> d terraPrinled Nemo Data <br /> —41 Time 606 L <br /> Time <br /> shed gnaturel Pdnled Name Data hece ved lalgnaturWrInted NameDate <br /> Time ��� I Jt tj i3 <br /> Tlme <br /> THE LABORATORY MUST PROVIDE A COPY OF THIS RAIN STODY WITH INVOICE AND RESULTS <br /> REV 411113 SHELL OIL COMPAW CHAIN OF CUSTODY <br /> I <br />