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ALL OIL COMPANY *HAIN OF CUSTODY RECORD Date: ' <br /> UU <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST <br /> Serial No; Page o! � <br /> Silo Address; L20 W. (Zk? 4.iy� <br /> Analysis Required LAB: ua' <br /> / P r W_OLj ` [s w yrs CHECK Old(1)BOX Otl(Y CUM TUAI+MOUND TIME <br /> 9 <br /> lh U 'C "9c01$.? c W Mondo&g ❑ 4441 44 <br /> hours ❑ <br /> Shell Engineer; Phone No.: 5118 Inv•sllgalbn ❑ AAA 4B outs <br /> 559) 645-.913 0 to b ❑ <br /> Fax 0: 0 d sou CloulrylDl+posal ❑ 4442 <br /> Consullanl Name & Address: G 16 days ++ormai) <br /> CAMpK1A icNv)rznNMENTp►V ' GHrva+..46~`l.Tic. Wold <br /> .0. z sa <br /> CAClosellylplspo,al E] 4442 Olh•r El <br /> Solt/Alt r:•." <br /> Consultant Conlacl: Phone No.: v sre ❑ 4442 <br /> (^7or1)9115 w 4869 N N o�p dS O A M lrOlEt )lellly lnh or <br /> AU13KC-Y COOL- Fox 0:00 9u-Iri49 u 0 Q to Walsf R•rm or sys. "S3 soon as rou161•of <br /> "{] CV US000 O tt M <br /> Comments: o <br /> b2 n. d z Olh•f ❑ <br /> saled by: cog___ 0 0) o. 0 4-'00 o <br /> mp0 UST AGENCY: <br /> c o c a SAMPLE <br /> Printed Name: "- - o A ` v 6 8 lz MATERIAL <br /> s a E~ CONDITION/ <br /> rt No,of s N A Ill o DESCRIPTION <br /> Sample ID Dale 5x11 Water All conls °►.• m � r°i- U 00 Q U ri U COMMENTS <br /> - 3 o2+:s X I � � <br /> CPT-4- 10 5 � _ <br /> CPT- 4- W 5' 0 X <br /> — <br /> CPT- <br /> 4 . 30•S- 0835 <br /> X <br />� CPT-- 4- k 5• 0545 - <br /> 0920 <br /> � 0945 X <br /> CP-r-4- 3 ' �k D L_D <br /> +y//`�'�J �Ot?rj <br /> r { J <br /> GPT 4- .� <br /> C?T-4- -79 5' `IDale. -1 U' <br /> Received(s g le . ItInhadme• <br /> Rel nqu shed By(s g aur PI Ted Name: Dale. 3-3 �e „„ *,c,-+0100 Tlme� e: Da e• <br /> PIIR ed Name; Dal0. c� c vad (sig lure) Ams: <br /> Rallnqulthad <br /> Ig la): lime; <br /> slued( gnalure): <br /> POW Name: Dale: <br /> Rautshed ey(signature): Prinled Name: Dale Tlmu: <br /> tlnqMine- <br /> U O I G •O -GU OD W 0 5U rHaonNra.tsnt <br />