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AC;UV—T- aaaas `- 7-ort <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD Dale' % jl`'� <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Sepal No: Page / of / <br /> 511c Address. 444 I E1 �!)1,2 J lyt t, 1 ''i) Analysis Required LAB: <br /> WIC#' �C:` _ �G i� _ �[�G CHECK ONE(1)BOX ONLY CTIDT TURN AROUND TIME <br /> Shell Enauma ! I C=6667-6797 <br /> No /� QuatQly Mautorms $461 24110M_ Sue Invesiisalwn [] 5441 4S hmns [] <br /> Consultant Name A_Add7Sal for dopmat ❑ SM2 <br /> i- //1'Q ItJ I`7' `�Y le)/e - 1S days [] (No mal) <br /> �y7 Water for de al 5443 <br /> Consultanl Contact. plane Noe)I I a � � Air Sunpk-Sys OAM L] 5452 / C <br /> H -3 NOTE N jtt t <br /> 1 2 ' ` �� P�M 9 _ ,3 / (_ y avatar Sample-Sys O&M ❑ 5453NOTE <br /> m possible d <br /> Commentsa Otho [] 24M#bm TAT <br /> a y �' SAMPLE <br /> $amps By A MATERIAL <br /> pt t � <br /> Printed Now �fJ[1j� c>nct>j /9f5-'L1/PR'1 �' + a �'S DESCRIPTION COMMENTS <br /> x tJ <br /> Sample ID Due Sal Wafer Au , m > V <br /> 1;4 X X/ x XI x <br /> x X x x �:f6 <br /> Aw -� x IX x <br /> J x <br /> I x Ix <br /> �lFL <br /> , <br /> eitngm lure) Photed name Date 1 7L R tved( Burled name —�— Date -??/ <br /> / I LL4 Time 11-0 .� S o 0 C Time <br /> tnyws y (st.75 ) J <br /> Rtnted name l Dale -4 Recet r afore) Rmy�amine Dat <br /> S s� Time �� � �r N <br /> Rel a By (ststuture ted none Date y i ecety (at afore) pante name e 2,--- <br /> pin z <br /> / �p f- <br /> THE LABORATORY MUST PROVIDE A COPY OF TH S CHAIN-OF-CUSTODY WITH INVOICE AND RESULTS <br /> LA-.1 HcvibNxt Due 10115191 � - ----- _--_ ---_- -- ---�- - — -- - ---------- -- <br />