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` 'SMELL OIL COMPANY CHAIN OF CUSTODY RECORD o '17- <br /> RETAIL. ENVIRONMENTAL. ENGINEERING - WEST Serial No: Page / of / <br /> Silo Address: , <br /> 1'L." Ccs i'Xjf' cf.us MQ('1 Analysis Required LAD: uia <br /> l Icy; <br /> 204— b AO(4 CHECK ONE p)IOL(ONLY CT/DT TURN AROUND 111,1E <br /> rye <br /> Shell En I�}E16r' 1`, w G.W. Monitoring r IJi) <br /> YJ . Phone No.: 5 1 0 al hour Q <br /> �� _ �' 311•Invrllpolon 1111 <br /> Lox _- '��7�5 day IRhoun [� <br /> Consullanl Name A Address: sallclanu,r/D4po.nl [J /1/x <br /> Cambria, P.O. . Box 259, Sonoma CA _ I <br /> S9 95475 water <br /> i-1 <br /> Consullanl Contact: 11h# 707-935-4854 � � M Clarrl /D4po.ol 1443'�- ti blh.r <br /> iofl/AG Rom or 3 r <br /> Joe Neely Fax: 935-6649 � � eo «� � o a 1a y ' ❑ 443: <br /> (' �_ S NOM Ilallly lob m <br /> Cammenls: +�- O Wal•r R•m.ar Syr. 1153 loan as forrlW of <br /> d -d d �p O i M Q 2/113 hn. 1AT, <br /> � Olh•r <br /> Sampled by: _j !j �d o c _ m i <br /> 2 °° �' ° � � UST AGENCY; <br /> Prinled Name: ��'� r" �.� -CC m 1. a c o, <br /> !� o E 7. i� a SAMPLE <br /> No.of x MATERIAL <br /> Sample ID orale scud sou Waier Air o �' o rr � H C m o CONDITION/ <br /> P Sludge � a: ci � U DESCRIPTION <br /> conk. sn > r— U Com` d COMMENTS <br /> X _ <br /> ,. • nq : y 3 gna e • = . <br /> - n • arae: _� �_ Dalo;f ReceN d1'�nahtfe): Printed Namq: Apia: <br /> lRelaclUshad By signahre): Printer!Name: Dale: Receive (Signature): PT1Nlad a ReRnqulstlad By(denature): f�int•d Name: Date: Rec•Ma.d hignpfuro): _ Primed Name: <br /> Tim•: J /�.cJJ ���r�c t, <br /> _ 11-LA94RATOAU1111PBQYIUEA QPY QEIW;i( 11AIN-AIS21?Y3dt� TIM,1 AdI�RRF.� " <br />