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S LL OIL COMPANY 41EHAIN OF CUSTODY RECORD Date: <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No: Page )- of .2 <br /> Site Address: Analysis Required LAB: uai4 <br /> as?S LoNutY C Uu Blvd STbc� - — <br /> jC�� CHECK ONE(11 SOX ON1Y CT/DT TURN AROUND RUS <br /> 204- 75'A -' 3."D5- G W monMadap 0 asl 74 hour ❑ <br /> Shell Englneec Phone No.: 510 <br /> rD�� $Y.Inwiflpdion pa 4111 IR hours CI <br /> Consultant Name&Address: sflu cfassWlDUposa! ❑ "42es days �tHarmaD <br /> �a <br /> Cambria, P.O. Box 259, Sonoma CA 95476 c9=004/Dispasa! ❑ sue ❑ <br /> an.r <br /> Consultant Contact: Ph# 707-935-4854 as Bop/Ak N@m of Sys 44s3 <br /> Joe Neely Fax 935-6649 "~ m ed ohm ❑ <br /> 0► NOTE Noluy tob m <br /> r (!� Wda Norm of Sys ❑ lt67 $0�R his nk"01 <br /> Comments: -d ,d � Dam <br /> °a O Z Met ❑ <br /> Sampled by: d IU Q, ° o ion c USS'AGENCY: <br /> N <br /> Printed acne: � � a a ..00a 0 a MATERIAL SAMPLE <br /> T E a E CONDITION/ <br /> Sample ID Data Sludge sell water Ali canNo.ofts x :co 0 a O 1! o DESCRIPTION <br /> A— 1 m > s- u Q U a U COMMENTS <br /> M W <br /> 1 1? <br /> Rgna e): Pi Name Dale: r!7 Roc Na ). Printed Name. Data. <br /> y !3s <br /> R (dgn e); <br /> Print Dale: r !r 4 Rocefvad nature), r -_ Printed Narrw• _ pa e• <br /> [- 7�►a�+r r-=— ---- --- Time. <br /> Raliilglifhad ey stgnotua); Printed Nunm Date: Received(slgnatute) Pointed Name Date, / 47 <br /> -- --- nrne: tirTTe: /7 <br /> n.saor,w <br />