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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date `i <br /> RETAIL ENVIRONMENTAL.ENGINEERING -WEST Serial No Page L of <br /> Site Address -- - ----- - -- - ---- ---- - ---_- ---- - ---- <br /> Analysis Required - LAB -�Qupk <br /> WIG# - -- - - - -- - <br /> CHECK ONE(11 BOX ONLY OT TURN AROUND TIME <br /> S_o_g_ _ -- - -- --- -- <br /> (l w Monitoring 4161 <br /> Shell Engineer by Nv -1 S- l 24 hotre ❑ <br /> 'LINO W /� 1 �/M1 A �� She tnvestlpatlon ❑ 4441 <br /> — NrL-[ Y 7�- - - - eXf�`i S_��1 40 hours ❑ <br /> Consultant Name 8 Address F tp wf-S Y [ o soli ClasallytDi,po.al ( 1 4442 <br /> p water 15 days Nomrso <br /> L711�Ll, LtJ S'� {OD � �5� eek 1�1_) m Classi1 rDls <br /> i ,_ � X y poral f � 1447 01her r� <br /> consultant Contact Ph°�'e Nv Z�Z-Zl l o ScWAIr Rem or Sys u <br /> Rax#7196-?$3D b m A 0 a s M �f 4452 <br /> Comments In rA Wader Rem or Sys lean as txsNOTE ibls o1 Lab s <br /> _ sits l t4 N .� <br /> _ '000 <br /> o IL 0 OEM f� 4457 24!18 No TAT <br /> Sampled by -- �, ,n o H Other — U — - <br /> � � 00 � Co coUST AGENCY A ,1 <br /> p < LM H o (n C ✓ C ���� <br /> PrintedNa_m � <br /> _e � � Pkl ai w -- -- --- -- - ---- <br /> x _ rd a MATERIAL SAMPLE <br /> u <br /> No of mo = w b ; E c m E CONDITION/ <br /> canis <br /> Sample ID Date Sludge Solt Water Air 0- a - Q DESCRIPTION COMMENTS <br /> r� I ` <br /> _ w s-o5 L51 — - - - - - -- L JST16A-S f ki—, S4C401 15 <br /> R plabed B alu P Name (� ,1 Dat_ fp Re ire - <br /> y "` c_� -� t' �4� 4 (si urel Primed N <br /> _ __ Time 51 GL3�- <br /> 1 ish ( ture) ,� Pn I�Name Date d R�t (gnat /� ] Pnn N of �-r --- pat .�. <br /> _ r _ I u(UL�1 Time 7�2 - L7 U Wit <br /> � VY�C�✓7 Time <br /> U shed t3 gnalure) Printed Name Date - - Received(signature) - Pnnted Name Date <br /> Time <br /> THE LABORATORY MUST PROVIDE A COPY OF THIS CHAIN OF CUSTODY WITH INVOICE AND RESULTS <br /> REV 411193 - --- --- — ------- - ---- — - - ------ - -- - - - - <br /> SHELL OIL COMPANY CHAIN OF CUSTODY <br />