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SHELL OIL COMPANYT � CHAIN OF CUSTODY RECORD =T �-fes 1%2 <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No: Page of <br /> Site Address <br /> Analysis Required LAB: E. <br /> W IC# r` CHECK ONE(1)BOX ONLY CTIDT TURN AROUND TIME <br /> Shell EnSuwer• Phone No i­1, Quarterly monnormS � $461 24 hmn n <br /> tI " cs Site [ S44I 4a <br /> t �L1 11 c- r Fax [� <br /> om <br /> Consultant Name&Address ! r-��' . Sal for disposal 3442 <br /> 3 W.rer for disposal 5443 <br /> ConsuluAz 4 <br /> mt Contact f�aeK Noy I fc ) ;`� •• Atr Satupk Sy:O&M [ ] 5432 09 <br /> ad <br /> 4 2 Fan*: 3 1 -, r Water Sample-Sys O&M [j 5453 NOTE Notify Lab <br /> Conts <br /> ° [ [ 24M4lua TAT d <br /> mmesoon a <br /> �. <br /> x <br /> Sampled By 4 k� 0 MATERIAL SAMPLE <br /> Prwed Name Z e1A vV1- !r+ +I = 1 DESCRIPTION emmlow <br /> p craMMEHrs <br /> Sample ID Date Sal Water Air �� � � � I <br /> [III Z }� X k <br /> jc,l�?C�.3( <br /> x Ix <br /> [ �7 <br /> el v y s ? �g1 � � Date ► 1 L R (r apt[�y�_� PrInted name <br /> rG SL'o� r�c�5 � <br /> Itcluwl hod B!]�;pvftvc) Preneed 71-DRefiei lure) Perot n e DiM�a z =Z <br /> S S Time .., Ttae <br /> Rd By (sib Pru�,t �"e e ccetved sr ) PruNe name - <br /> �` : !` ice Time ld? - ?SCHAIN-CiF-CtiiTOD`Y <br /> ` -_ eTHE LABORATORY MUST PROVIDE A OF TH WITH INVOICE AND RESUL S - - <br /> 1 a.0 ttevisum Daee 10/15/91 --- - — - - --- - - <br />