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S .L OIL COMPANY AIN OF CUSTODY RECORD Dole. ,;2/407 <br /> ` RETAIL ENVIRONMENTAL ENGINEERING - WEST 5©tial No. 2M2(2 Page :;� of <br /> Silo Address. <br /> ,'r _ 2575 Country Club Blvd. , Stockton, CA Analysis Required LAB: 5YQ <br /> rr J C CHECK ONE(1)BOX ONLY C1101 ZURN AROUND rMAE <br /> 204--7524-3505 <br /> Shell Engineer. Phone No.. 510 �` 24hourr ❑ <br /> R Jeff Granberry 4 6168 SR•Inr•rMfgorbn ❑ 4"1 675-6172 C) As hours ❑ <br /> CaVl nl N c%'Address• <br /> acne ec ervices, Inc. 130 t°Itclor,Wlgkpo`Ol ❑ � 16doyr ❑(Norman <br /> 985 T-Lmothy Dr. San Jose CA 95133 x Watery/Dlrpo,al ❑ � Olh.r <br /> Consultant Confacl. Php Q 408 v ❑ <br /> 9y � jrj a m Sob/AIrRom orSya <br /> Fran Thxe Fax # n m aO °a ot,M ❑ 4rtY NOR <br /> —$ 7 3 5 < Wot•r rl•m or Syr roon or ola�blo of r i <br /> tn <br /> Comments: o v Cram ❑ ase <br /> v i<Iai hri ur <br /> Z Olh•r ❑ <br /> tn <br /> N w <br /> Sampled by. CO 0 a o 0. 0 o UST AGENCY: <br /> N <br /> Pnnled Name• C)y 6� a 2 W ' ° o SAMPLE <br /> �- o n �, o v Q- MATERIAL <br /> NO or x w - c a DESCRIPTION CONDITION) <br /> Sample ID Dale Sludge Soll Water Ali corals ° °` ° �' ° ° <br /> .- m � u ¢ U a u COMMENTS <br /> ReBn By nr ). <br /> Printed Name. Data /a p acv (signature) Prinl a Daly <br /> Time 6 r C /�!� <br /> Ra ad By Ld ure) Pfinled Noma, Daly ec lve l slgnaluro), Ninled Name. Dole, <br /> ' Tlmv Tlmo <br /> R li LIIt ad By(slgnalure) - Printed Noma. Dale Race t red(slgnolura), , - Printed Name. Dela - <br /> � <br />