Laserfiche WebLink
SHELL OIL COMPANY CHAIN OF CUSTODY RECORD <br /> _ <br /> RF-TAIL ENVIRONMENTAL ENGINEERING - WEST Senal No• Page loo <br /> Site Address 11+5 <br /> T J £�I�.il►Iitipl AUe'llV� <br /> Analysis Required LAB: <br /> CHECK ONE(I I BOX ONLY Cl/DT TURN ARDS;NU T7!► <br /> wIc•�I z(A _ 9-�Z 4 _ L4 4 S <br /> Shctl Engineer phone No I G Quarterly Monllorms / c,461 24 hours <br /> i- 1 <br /> _1 !! 11 L� Fen I 4p 'aa3-9_ SrSiteInvestrartwn 11 5MI 41 horns I <br /> Consultant Name& Address Sal for disposal ri 5442 15 do" (Norma <br /> 9583el;T <br /> 4 rift?JLJ Wainfor dtspoaal � <br /> H 5443 Ocher <br /> .. - <br /> Consultant Contact phone No q I(,0 1 (� Aar sample-Syr O&M L] 5452 <br /> �_ 91B-330 is Water Sam SYS O&M NOTE, Nott Lob as <br /> �� a Fr:N z - 3 + N Q Pk- y ❑ Sl53 soon as pazsahk of <br /> Cnmmcnts n+o 2 r � Other [] 24141 Ms TAT <br /> I 4n n_ Z <br /> �- <br /> Sampled Fly MATERIAL SAMPLE <br /> CONDITION <br /> Pruned Name TQ ��TT��t..i �' �' u DESCRIPTION COMMENTSSample ID Date Sot) Water AarNo e it � it W <br /> Sap WO <br /> Relinquished By nature) �- y � printed name Drtt - — Printed name -- - _-� - put.r� <br /> a T7-x4f Time 1 Aide. 7yvt- <br /> torfinquished By (signature) Printed name pate Ttectived(signature) printed narne Dale <br /> Time Time - <br /> Relinquished B (signature) Printed name. ale. eteiv <br /> erg y 6 (argnature)• pttnreJ nine jDate <br /> - - - -- - -- - __- Time. _ _ trtrr - <br /> THE LABORATORY MUST PROVIDE A COPY OF THIS C_ HAM_-OF-CUSTODY W1771 INVOICE AND RESULTS <br /> I apt RIYtYNM1 F)a1C II1ViSNl � l <br />