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.,L J-0 <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dalew- (, -C) <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No Page 1 of .2 <br /> Sile Address. Analysts Required LAB- <br /> -V - <br /> ;L- 44 Frern b 54-v"� ac C A <br /> r n c:1 e>n•4 9$99 G 1$1 CHECK ONE(1)SOX ONLY cant TUftlr AROUND TIME <br /> SAP 1 L 1 G W Monsomo ❑ 4161 Yi hovn ❑ <br /> Shell Engineer•. P npPy� No • e <br /> } ` SAernretrloollon ❑ 1411 48hour: ❑ <br /> K A irevn Pcit-irlk Pax # GAS-3GK3 � <br /> Consullant Name &Address. ;:?a, trk:,A5 S*ree4 $09 Clots Ity/altpotal ❑ 4."I 15doyt 190101map <br /> f'' f y <br /> Waist <br /> �71d.Yothri+ea44.I „50nap" ,t [,4 115-CM Q x CloudylOkpowl 11 ❑ <br /> 6413 olh.t <br /> Consultant Contact Phone No • m SorrlAlr Ram.or Sys ❑ <br /> 767.43'1- 113;t N °; m O a M usi <br /> ' NOTE NoGly lab at <br /> Pax ° �` Q <br /> �. Ur 0 Wolof Rom at Syt I] 4455 Loon as Powble of <br /> Comments C:a n P, m M T 13� -�ve l s de vec+,ed �y <br /> a oars 21144 hit IAT <br /> b.j 21a.iD Wtfh S2[vO, o 0 0 '^ Cl w z Other <br /> Sampled bL�� 0 0 03 ° C c n om } <br /> v,fit > Q �, o �, UST ;AGENCY. <br /> 03 coQ N <br /> Printed Name bo A ca w `� o o n `a a MATERIAL SAMPLE <br /> CL ! CONDITIONI <br /> No of z S w +^ o o m o DESCRIPTION <br /> Sample ID dale Sludge soli Water Ali canis m > 4} U Q U +i U COMMENTS <br /> J)N, x I il�ld <br /> r��43 <br /> 6) _ r <br /> 04A N - �v <br /> ol <br /> 5 -�5 <br /> Conf.rK ATIL, i-ifb <br /> SN - �U k I �( b� 8��0 <br /> UY Rel ul eadsig tura) _ Prlrlled Name 1 Date /� ] 9q Received (signature) Printed Name Gale 7' <br /> s IOsJS k. Time ►'�'� Tm e 1j <br /> Re! ulshslgnalure) Prinled Name Dale f • Received (signature) Printed Name Date <br /> Time TameRalln4dulshsignature) Printed Name Dale Recoivad (slgnalure) Printed Norne Date <br /> s <br /> Time <br /> Time <br /> Al In DECIIITC _ <br />