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SELL OIL COMPANY . CHAIN OF CUSTODY RECORD DaF 57-F/� <br /> AIL. ENVIRONMENTAL. ENGINEERING - WEST Sedal No: Pages o� <br /> Slie Address: a' S' . 0) t <br /> A► • f(//07,te-- O' c Analysis Required LAB: <br /> GIIEGIf ONE(1)lox ONLY 1 0101 IURN AROUND pMAE <br /> 52 G Shell Engineer: PI ono No : S!d w hioo!<urM+p ❑ .,�� 24 hobs El <br /> �! ' SY•Inwdlpdba n 4441 44 hour Cl <br /> GC aI( : <br /> co- fistOWAI Name &Address:/ -S F) 1,14; !� <br /> Q P 0 1:days ,t�l1lclmaD <br /> n <br /> {ti Claalky/pNp.tol 4141 Wk.t n <br /> Corl>*1 nl C �llTc <br /> l. f Phone No.: )c 7 `ta Sol/AY!.m m iya 44;a <br /> Gj e, E' / Fax �: Q � 0 r<Al NOIE NoWy lob m <br /> CO enlS' la A- Wlf.l p.m of iyt tools as r1mak"of <br /> O II N 44" 34144 ktt W <br /> What <br /> Sampled by: <br /> g0 UST AGENCY: <br /> .. o <br /> f �o 0 <br /> ei <br /> Printed a : C�i'"e_ b/�,) 1G��c a ) A a m o <br /> t~ a o- MATERIAL SAMPLE <br /> w <br /> CONDITION <br /> Sample ID Dale Sludge Soli Walat Alt No o! x x n o K. U DESCRIPTION COMMENTS l <br /> conrs � f cn y r U (� icL <br /> y e). Prin a Date. Race ed gnatuta). Pr nled Name Date. <br /> ccc� a Y't LCA G� M>e� <br /> ,jRan*iawa iy' apx ): Pllaled me: Do-to" Received(rtgnature): Ptlntad Name. �R + <br /> n Time. <br /> RetiErgtMwd ill(dgnature). hInled Hama: Dai*. Rece ed(Elgq r ): Pryed NaAble. c <br /> t rhr*: <br /> 'filE IAiQttAJURY.Mllff PRQ)tIDE 8►CQLwY QEIl11CHAIN-OF-CUSTODY ITII INVOICE AN�gF.;:lILI� <br /> .wl Qhi M i <br />