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h <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORDDate` j��7 <br /> RETAIL.ENVIRONMENTAL ENGINEERING-WEST Serial No Page_( of <br /> _ SheAddress- t <br /> Analysis Required LAB <br /> CHECK ONE t q BOX ON CT/OT TURN AROUND TIME <br /> 4 C'� 7 5 y- `f! Ori Aronlralnp –❑ 4401 __-----.— <br /> Shell Engineer; — Phone No------ <br /> ��L /r Ste Investballon a"4I 24 twee ❑ <br /> . `} _ sorclaaayDapor.l 4442 <br /> 4eI0"s ❑ <br /> Consultant Name&Addr ss, 10 46 -t� v N t0days {� <br /> /( <br /> NartrlO Warr,�o &vII� 7 Clurlly/m6posal 4443 <br /> r- ------- other ❑ <br /> _ an tent Cantad. Phone No RA <br /> .� soluAh Ram.w Sys <br /> U/t ✓� I G'y 1�:-'.� Fax 1# 7�c'6� � c nim_ g o a u 17 Asx NOTE Noery Lab" <br /> Comments N Q Wow Ram or Sys ate,Its <br /> Poe Me of <br /> uat w 0iµ ❑ 4453 24144 Na TAT <br /> C3 Other <br /> Sampled ey La o -- --- <br /> f o w m¢ �, f UST AGENCY �" ,a <br /> Printed Ka—ma C r�'- i 2c.�G,'�z'T � - - t°ir wul <br /> o V19 <br /> -- --- — - - SAMPLE <br /> �— MATE=RIAL <br /> Sample ID Date Sludge Soil Water Air No °i x m E a: E DESCRIPTION COMMENT' <br /> conte a <br /> N- olyff <br /> -- ---- - - - --- -- - - - - -- -� -- - JM15 <br /> - t� <br /> '< <br /> Ilk <br /> 15� <br /> 6-E0L -]1- - -- �---_---- <br /> _ 2, <br /> I I\v 1 139( <br /> R t1nfile ed_W& tura) Printed lame_ /f Date ecaiv )s t e Pr ' Name Date r <br /> 6 o►s C.3 f�L :Tisaz4e-s, <br /> inqu d B (signature) PrJnl Name -- Dated` R ed{sign a) Printed Name Dale <br /> Tlme -- _ Time <br /> r1h4quIs BV(signature) Printed Nama Date Recel E atura - Printed Nam - <br /> t? )/f n y� flare <br /> - Tima— ��UV�i nen-+ "'~ -- <br /> _ _ Time <br /> THE LABORATORY MUST PROVIDE A COPY OF THIS CHAINOUCUSTODY WITH INVOICE AND RESULTS _--- -, <br /> REV AIM --- — <br />