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SHELL 01L COMPANY CHAIN OF CUSTODY RECORD Dale: <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No. - - - Page y of 3 , <br /> Slle Address: Analysts Required LAB: _ SOb�Q <br /> ,241`4 F.•'M.n± S , S+0c.P�� — <br /> �n 1 � 'ti- e9p /&/ ! I/I W CHECK OW{1}10Y(ON1Y CT/D1 lURlt AROUND 71MF <br /> an& (� C1 dv�c /3l 6 /1//. G W monAodav El "61 24 hours ❑ <br /> 5heil Phone No.- -s-r9' <br /> Engineer: / <br /> ; Sit•(nr•sllpulb © <br /> n u4f 4d hours p <br /> I�Areltl �e !' Fax #: �S-sGy3 <br /> a <br /> Consullanl Name &Address: ?o I�ei+K,.�.a ,Si, n Soil CIasi Ify/Dlrpetal EJ u4z lsdr <br /> a s ufour+af} <br /> (1 a0 Water <br /> C 4t rn tor set �L!�• Oi►!�!i/'► <br /> son Cla��lfy/Dlspo�al ❑ 444] Ofhor ❑ <br /> Consullanl Contact: Phone No • -707 m So HIM Rom mmiSri <br /> 939- a13A v N Osr.! p 445: <br /> l /� `� � � °d HOTE No111r lob as <br /> �j e/` I �l1y.S "t! FC1x : mg'ZS-. CI Q Wa1orR•m.0:Sri soon as Possible of <br /> �- o O A rd ❑ 445] 4414e hes 1AT <br /> Comments: II o o N N z ❑ <br /> v <br /> g U v a d o1h•t <br /> Sampled by: a o w 0) 0. o c UST 'AGENCY: <br /> to ca Q O a `? �, <br /> nn L�.1^p 9 V n. n w 0 c o _r- -U 0 SAMPLE <br /> Primed Name, +<J re II �, MATERIAL <br /> ° a a E CONDITION/ <br /> No of a. x w o a o o DESCRIPTION COMMENTS <br /> Sample 1D Dale sludge son Waflll Ali conls n* n, m > U <br /> 12q Lot 1 <br /> S g• y- 0 E� — — <br /> II � <br /> S13 Ll- 3o .o II — <br /> s Ll <br /> S a - (-t <br /> So- 14- (00 .0 - <br /> -�s.o P-1 -� <br /> 5 Q r - Pllnled Name, Dale <br /> Reil ulshed By(Si I Pllnled Name' ,L Dafe / t calved(signature) <br /> 20 ,^• C II a �c 11 u <br /> ltelingdshe By(slgnalure). Printed Name' II Dale Received(Signa lufa)• <br /> P11111ed Nama Dale- <br /> lime "me <br /> it II Dafo' Recelved(slgnalule), Pllnled Name Dafe, <br /> RellncitAlwd By(sl nalufa) Pllnled Name j a• : <br /> Ilfne <br /> 111E LARQSRA='n U O O O I C O GU OD W O C D 5U S wanr,.ia...v <br /> 11 <br />