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1� 6%'rL IS FMIiShaC&Mdy� M <br /> 1220 Quarry Lane • Maff* <br /> nton CA 94566-4756 Reference# SS <br /> �Ii�rT LPhone (925)484-1919 • Fax (925)484-1096 <br /> Email sflogtnO-stl-mc com Date I Page —2_of <br /> Report Analysis Request <br /> Attn Paul Anderson <br /> W CO CO N LL <br /> Company Philip Environmental Services Corp m w m U ° o o ❑ ❑ <br /> o O ❑❑ E= rota �O <br /> Z CL <br /> Address 210 West Sand Bank Road,Columbia,IL62236 ❑o CO S 26 u, ° a °° ❑ a R a r-- ❑❑ <br /> ❑ ❑ > d o o a ❑ l�s <br /> Phone (618)281-1543 Email oa�o �� pox X o m X N cg❑ g_� ❑❑ na a r- -J U ❑❑ <br /> m Em c, a �n�o �# V❑ ww allo o ❑ `" M o ❑❑ <br /> Bill To Philip Environ Services Sampled By o o (g i, a m c <br /> !/ g ❑❑ e❑ m � CO 16Q �o o �� ❑❑ ❑ �'� m �' mr Um o <br /> i1�15 Ir � I <Q Q❑ w � yWNN �, mo Fd 'N v ❑❑ U <br /> Atte Paul Anderson Ph eta 281 1543 a w w 6 � c i ¢ o¢ 0 W Al ❑ ',� w v ' _ � o <br /> 2(D e6 as ~ z VC se 09 Ew mQ rom Q J0- <br /> o <br /> irix erv. <br /> Sample rr Date ❑ a..m t�❑ LLx Q. �❑ W O- as a w 20 ❑O ❑❑ C]❑ ¢` z' <br /> 1! SP-4 11/16 r53O W Hci X 4 <br /> IZ SP-5 )7 W HCI X 4 <br /> P3 SP-6 1711 W HO X 4 <br /> f� PZ-1 I[�I� W HCI X 4 <br /> PZ-2 jL545 W HO X 4 <br /> Mill 9_ _ ._ _ 1)RP,to r5h d ��, 2)Relinquished by 3)Relinquished by <br /> Project Name Sara Lee Airport Wy #of Containers <br /> ignatu( Time i natur Time Signature Time <br /> `Protect# 62400145 Head Space E7 V(5 <br /> PO# Temp Printed Nanie L Date C9 Pfinted Name ate Printed Name Date <br /> ETIC Engineering,Inc <br /> Credit Card# Conforms to record' Company ZFmp_any Company <br /> T 1)Re c ry y 2)R 06ive y 3)Received by <br /> T Day 72h 48h 24h Other / <br /> Report x Routine Level 3 ❑Level 4 ❑EDD X State Tank Fund EDF Aignature T e S InAurP Signature Time <br /> Special Instructions 1 Comments X Global ID T0607700044 �i `� / It j rl OL� <br /> r� O <br /> Pnnted Name are,/' Printed Name Vate Printed Name Date <br /> ST-L--5 <br /> See Terms rad Cond1dons on reverse Comfdny Company Company <br /> *STL SF reports 8015M from C9-C24(industry norm) Default for 80158 is C,o-Cza Rey D5M <br />