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WENEW aaaaas OPEN <br /> 4F <br /> SHELL OIL COMPANY CHAIN OF CUSTODY RECORD o>,1t- <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Segal No: Page / of / <br /> Site Address: 44-15 �����t�„1, /`tit, ��-/*i) <br /> Analysis Required LAB: <br /> WICO. 2C:` CHECK ONE($)80X ONLY ICTIDT TURN AROUNDUM$ <br /> Shell En$uwwF�Fu <br /> Na /Z� Quanaly Manhoms $4bl 24�e <br /> I rl G, /11i1/el^ (c� - �`i Site Emestogailnn f 7 �1 48 hors {] <br /> canaultam Name A AddressSol far disposal �, 5412 <br /> F /11t,c"IU /y'`�Y'�c3�t' ` 15 do" [] (Nannal) <br /> 3.3 11, ILI MI.tZ '� ' 4 ,5 ,., Wako far dupasal LJ 5443 other <br /> Consultanl CantacL / Photic NW- 9/0 $ Air Sample.Sys O&M L] 5492 /"c <br /> �- -, <br /> Fax d: 'f3 3m od N W mum Naedy� <br /> It— t'— - , ` ( •� ale rSample-Sys O&M [] 5453 s=a w possible or <br /> Comments t T Otho L) 24/4'hn.TAT <br /> vtin <br /> z <br /> Sampled By !� �t Q \.1 W MATERIAL SAMPLE <br /> ffinicdName. " LlA OrCta✓ a DESCRIPTION CONDrMN/ <br /> }, 3 0 COMMENTS <br /> Sample ID Dare Sal Water Au call a4 � I U W <br /> r1414-1- X x x k X a� lay <br /> x x X x X x :7-6 <br /> Aw <br /> - - X1 Ix <br /> M <br /> cl ui twc) Prated name: Date:! : swed{ Prmlod tanto: Dates - - <br /> 7" c.t-4 Tune / La C' o � ` <br /> Time <br /> FjdmqusShc1qy (51 ) Prated name. J Dale:/- Rccei s stare) Prim e , Dale. <br /> Rel $y (atanatws Printed name• e: s i cccir {st atwc) 1"' <br /> - <br /> . �� - � mte namc_z �� � Time�oIa _ _ `^--� �, r�,,->'t /�4rc�s _ tme• Yo ' <br /> THE LABORATORY MUST PROVIDE A COPY OF TH S CHAIN-OF-CUSTODY WITH INVOICE AND RESULTS <br /> Ls.l Rcnswxr Dalc 10�119N1 _ --�_- __ <br />