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WELL OIL COMPANY CHAIN OF CUSTODY RECORD Dale <br /> - 42 <br /> RETAIL ENVIRONMENTAL. ENGINEERING - WEST Serlal No: Page I of / <br /> Site Address: �-1 12 C� <br /> ? Lo c c L Analysis Required �j LAB: e a44 <br /> i <br /> 1Cf: 204— CRECrr ONE tit Box ONLY CT/D1 TURN AMOUND 1114E <br /> G w Monlodng ❑ 4441 <br /> Shell E�ng/lne/�e�r. Phoe No.: 510 24 hour ❑ <br /> �"`yl" PeM7- IF <br /> 33j--S-0),_7' � :a1Ckus9V/Dhpaics1 <br /> r.lnw�RQdloa ❑ Iut 40 hours Q <br /> Consultant Name&Address: `y �i 4447 16days �tHoraw4 <br /> Cambria, P.O. Box 259 Sonoma CA 95476 °° <br /> ConsuHant Conlaat: wd.f <br /> Ph# 707-935-4854 Q cb.@ry/o1.,.�41 ❑ 4443 °'°•' ❑ <br /> Joe Neely Fax 935-6649 •ff ol�kRomasByf ❑ 4e12 <br /> (' as 4 �" M NOTE. NaMl Lab a <br /> Comments; tet, •• Wd.f ROM or SPS loon as to&"or <br /> ,d .a R 2 O&M Cl uta 24141 his VAT <br /> a o C' <br /> m Zr OIho1 11 L2 <br /> Sampled by: J/�, c o 19 1 33 <br /> Q o .0 N y o UST AGENCY: <br /> Prinled Name: L}-t v m a o 0, <br /> No,of x <br /> " ° ! n °E MATERIAL SAMPLE <br /> y R <br /> Sample ID pato Sludge sell Water Alr cants � j ;ti v U a V CONDITION <br /> DESCRIPTION COMMENTS <br /> A w -13 "41 a i� k I — <br /> oo 1� <br /> w �!3 ~� �. X _ oz <br /> I <br /> I lyl <br /> R gna e): PrJ Delo:! 7, RQfIvQd( PL nature).. nled Name. <br /> Q'G t d <br /> R d (1lgnahme): Prinled N. Date;-. Recety ( gnaku plialea t1a e <br /> ' llme• <br /> 111an"Wid By(d lure). Printed Na Date. Recetved jWgna )I Prin�Name. Data: 2—! <br /> Mme: !?ls flare: <br /> n.f 01 cm 10 <br />