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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Daie: tb-k-6 <br /> RETAIL, ENVIRONMENTAL ENGINEERING-WEST Serial No.., page i or � <br /> Sfte Address: � <br /> 3�I r�sr n���►� lz. .�1� C a� Analysis Required LAB: QL"-0 i�— <br /> Wye#: <br /> -sn+G.oc-.mac �8°�°1b8CHECKCA111BOKOtlI CWT TURNAROUNOTLMe <br /> O.w Mcir& r,p ❑ 4131 <br /> Shell Enginear: :Phone No,: Nalhoure ❑ <br /> k all Inv" ❑ 1411 <br /> .IFax P. &oedreeltyM"M C7 uu 4eho�ne <br /> Consultant Name A Address: <br /> Wwmr 1sa■y� ❑ Vlci,ryl b Cfa�dfylC[syoal b 4442 cher ❑ <br /> ansa tent ontact: Phone No.,4;710 = .. sa t Rem,ortepe, <br /> i X15 0- iii Lk -i i co o i?A ❑ 4152 <br /> Z1�;c.� Fax #:�sd- 1AS m a t NOTTerMkly Lab" <br /> COITIRI9n19:p�y+c�YniArrc6 CiS iuGtv�we '. GtHftr+oj TB+°� Frr C7 � N Q y - Wmrli+rna5trf, ioaRupaeflbteot <br /> 0Z= 0 � O 8 A4 El44lA 24r1t W&TAC <br /> Sampled by: U'i in <br /> c o no <br /> CD �, UST AGENCY: 3 <br /> E1 � a N c. <br /> Printed Name: Y✓1 uric - k!� a a LLJ O <br /> w m ° MATERIA1 CONST SAMPLE <br /> Sample ID Date Sludge Soil Water Air No'oI z _ o , E c E DESCRIPTION' <br /> cants, aQ 7 t•- CLC3 COMMENTS <br /> Z <br /> a - nnZ'�'i LQ Lo 3ts6- <br /> pjrb <br /> OOLE R CUS rOID Y SAL INAL ❑ <br /> O INI ACIEl- Cly-►I�NDI =I�� <br /> OOLE R TEN PEI ATRE+_ °C <br /> R In ' Aed BY pr1 ); Ptlntod Name: Date: <br /> DReca zi r Printed Name; Date: <br /> L C Time: Time: <br /> Reil Printed Name pato;16 1,16WrR Prl Name: Daw <br /> Time. Tirno: <br /> fie 8y(iipnature): Printed Name- �� Data: eoeNod r n eme: Die: ro lb <br /> Ttme: 11nf1me: <br /> THE LABORATORY MUST PROVIDE A COPY OF THIS CHAIN-OF-CUSTODY WITH INVOICE AND RESULTS <br /> REV,I iAO �� $HELL OIL COMPANY C14AW OF CUSTODY <br />