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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD pais: 2-1t <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No; I Page 6 of - <br /> Site Address: 42o w KVO CrA&n Lir• Analysis Required LAB: r�o' <br /> -4—>AP C x44-. t�, y to r ul CHECK ONE(1)1ox OIILY I culn TUR11 AROUND 11M( <br /> 1vNC '(Lt v, 915 S11 9 9' S 7,5 �.. G W Monitoring ❑ flit ❑ <br /> 74houn <br /> Shell Englneer: Phone No.: <br /> (5597 SM.lnv.rllga!!on ❑ 4441 45 hou" ❑ <br /> w Vl� Fax if: /,4s;-50s <br /> Consullanl Name & Address: soRclor,flrroul�rp! ❑ "42rmap <br /> 16 days <br /> � <br /> (flo <br /> CAMHCE <br /> ICIA NVIR WM TA'% - ' [,(-IN81.00a`f,l�C• t° a wol.r <br /> CA 7 O Clarify/1)4poral ❑ 4114 Qlha ❑ <br /> Cansullanl Conlacl: Phone No.: = •� m Sall/AIrRom atSys <br /> (-Tei)995-*Is9 N 0 �-- o ra M ❑ 44s2 as <br /> AUBKC-Y COWL Fax q'110)9%-64+9 a a NorEi Ito Possible <br /> of <br /> Wd.r Rim or Syr loon as Porribl•el <br /> .. Q- p 1}i O A M ❑ 1457 74145 his 141 <br /> Comments: o o � i ofh.r ❑ <br /> Ln z <br /> o M c <br /> Sampled by: A C-aa� 0 0 o rn °a4 o m � � � USTGENCY: <br /> Ar <br /> co to <br /> aa Oa► pi a+o^ (6�> <br /> T <br /> UQ <br /> � <br /> � <br /> SAMPLE <br /> Printed Name: o � MATERIAL <br /> X - CONDITION/N/ <br /> -6 . w DESCRIPTION <br /> Sample ID Dare S711 Water Alt No Or w o COMMENTS <br /> cones. cGo � U <br /> !055SB -4 - 3s G' Il d <br /> — <br /> C3 <br /> 05 41 Ob <br /> E—F 44 {•-{D i-D <br /> li3o <br /> S 4554 — — <br /> 47 <br /> s 10 <br /> Pr :led Name: Dale: 2- Racelve =1a I ): Pfinle am �a19• fid' <br /> Rell qu s ed By(slgna u ). (� 1MG: 13%a—�,G13 14 +J� � cL l e- ;3 <br /> Dale. lYl�' Rec ed alum. Prl ed Name: Da <br /> 8511 Ushod By lure Printed Na 1Tme; laZv Alelime: <br /> kellnqulshed B Ignarule); Pllnled Name; dare: Rec ved signalule). P!pled Nal Date: <br /> Tlme• <br /> Tlma: <br /> THE TA80 U I •O -CU O U rrpOnr �r <br />