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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Datelz/`q _ <br /> RETAIL ENVIRONMENTAL ENGINEERING-WEST Serial No • J <br /> Site Addre- `'/�� — _"��_ — ---- --- �_ Page 14 of <br /> x y41,,7 Analysts Required LAB: - <br /> Wics. - -- - — - — - <br /> Lt! C14ECK ONE III BOX ONLY CTrOT TURN AROUND TIME <br /> ---- a w Munlwlnp [} 1161 ---— ------ <br /> Sh`sell Engln!er: Phone No -- -- 24 haws ❑ <br /> / ry ,�^CSL C,-r Fax Site Inve111Qallan 1141 <br /> Consultant Name&Address• - Sot ciaalu lu1-11a I10'aa ❑ <br /> ��,ra frL�,j�,- - � r wa ri 4112 <br /> W0191 16 days elft rl) <br /> wiJ�` !l` 1 ? co Clrrailyuspoaet 1-1 4447 <br /> nsu tant ntad -- - - ah« ❑ <br /> � Phone No �i/6 <br /> SoVAlr Hem or Sp <br /> Fax# 7�T 7�O�d m R ai M [7 11s2 <br /> ---`�- - co ad NOTE:Na11 Lab a4 <br /> Comments. -- — --- �t p 4 1f? Www Rem or aye loon T <br /> Lu O&M C1 11�a 2u4e hi�Atl.d <br /> Sampled by: ', - --- -- m <n a x ah.r-- - --- <br /> Cc co a ,S _ } USTAGENCYa. <br /> J e� <br /> Printed Namo��_'�• / +I ��c.n - cAii O . .. tl <br /> m -- -- -- <br /> Lu `" t� o <br /> � o IMATERIAL SAMPLE— <br /> Sample ID Date Sludge Solt Water Air No of = _ � m E � � E DESCRIPTION CONDITION/ <br /> — conts a COMMENTS <br /> f <br /> FletlnqulBTalyg6) - Prlr �e^L� c ,N Dale �+} <br /> p1d <br /> DaleTime _ _ TrmR I quleh B posture) Pd�Name Dete ray --- i ed Name ----- Dal* <br /> I <br /> L _f ��V _ Tlme Time <br /> ne ulat►ed (signature) --- Printed Name '- -- — - - --- ' --- - ----- --- —— <br /> Data —� Ttecel signature} - Isr nI�tTa c%257 <br /> _ Time ---- `7 Dme <br /> Dat• <br /> Time <br /> THE LABORATORY MUST PROVIDI~A COPY OF T CHAIN OF STOD IT INVOICE AND RESULTS _ <br /> REV 411197 - _ _ __ ----------- ----- - -- ---- - ------ - ----- <br /> Stin i flit Cf11fPikriY PNaimnr r iI*Tnny <br />