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SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Date '1/,U/7.5- <br /> RETAIL ENVIRONMENTAL ENGINEERING -WEST Serial No Page 2 ©f <br /> �' <br /> She Address, -� kf <br /> i �- -- - - - - -� -- Analysis Required - - — — LAB. SP�r4 u,;'/el- <br /> MCI <br /> l ICN _ <br /> �� �- O CHECK ONE III aox ONLY C -- TURN AROUND TIME <br /> OW MonNalnp ❑ Nel <br /> SJhtell En-dineer. �Pho.nreFNo <br /> -- - 40Inrsslipallon 4441 24 hwa <br /> L Fax# WHO <br /> so>claullrOlpo,.1 e142Consul[ant Name&Ad ❑❑ <br /> waist 15 days ''l"«r04 <br /> �6�ns <br /> � l�r ✓ Il cid _ `1> 6 T� I ) 4447 13 <br /> an« `lia—hF onlect, Phone N-o—.1-t G -- SOVAII Aem or Sri <br /> Pe-x ve, �' m O a M [7 4452 <br /> �P v l5�!/i --- - — -- Fax # 7 hs 7�yU m � oa NOTE.Noter ribas <br /> Commenl9 ---- - -- - u] Weler Rain at Sr. icon ee Ponoble d <br /> — Q DAM 1-� 4453 2Von.-Ni TAT <br /> UJ °° ❑ <br /> X an.r <br /> N _ <br /> Sampled by G�� ,� ----- — ------- --- __-- - - �. .- � a � to y ------- ----- --- — <br /> G, L ro m a �, a o } UST AGENCY'7 ti,T� �.'z 4 <br /> Printed Name.�x L r �����'r hc+r7 a. a. O a O m SAMPLE <br /> - �No al o ' MATERIAL <br /> CONDITION/ <br /> Sample ID Dale sludge sod V E DESCRIPTION Water Air corals m 0 a COMMENTS <br /> A-11le-c- <br /> ga----- <br /> 6-EC' 395 4/4 <br /> c� c�3- Z-1 - X <br /> nel[ had 8 fp reJ Prin Name Gale��1f )ecu ad f�n lu 1 n Prin ams pale <br /> r _- — Time r[ �C� esi"d <br /> 6t +-G�1 --- _ lU � Time <br /> I Is posture) rl Name Date (ni ure) Printed Name Dale <br /> �F __ — _ — T ,e �- - _ __ _ _ __ ________Time <br /> RPI qufihe� (e gnatura) —^ Printed Name - - Date - -- Recelva sAAI <br /> ign�ayture) - rime Rem f Oa1a <br /> - -- - Time Ot, �l �'I'�1�Y, timeTHE LABORAT�A MUST PROVIDEA COPYOFTH F JSTODY WITH INVOICE AND RESULTS <br /> ------ ----------- ---- <br />