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I SrttLL. VIL COMPANY CHAIN OF CUSTODY RE ORD Palo: <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Sodol No: e"408-- 6r <br /> File Ad dross: page � o <br /> 341 East Main St, Ripon, ca Analysis Required LAB: � V04 tJ <br /> 71_16 N; <br /> 204-6522-0307 1 C11[CK oN[(1)Iox oNly CUDI MAN ANOUNO A1d[ <br /> Shell Englneer: Phone No.: (51aw, monlaft "ll <br /> 3 �i howl ❑ <br /> Karen Petryna Fax2i-'I�327821 SAa1nY°slipdbn ❑ 4"1 <br /> COrniUllanl Noma & Address: ""°"" 130 <br /> Sol Ck*4Vy/Olrposal ❑ 4443 <br /> 111 days F-1 wo,..Q <br /> Water <br /> CorSsullant Contact: Phone ❑❑ ""IL uojDUporp1o : (408 <br /> ) <br /> 100 Other ❑ <br /> Francis Thie °QLOl:yrco Fa oiM us: <br /> Comments: <br /> HCR? HolWlabel <br /> Y� � Yar R*tor Sys loon osu Ioliui.ofO� lSl oam lAl Q M <br /> 1 <br /> Sampled by: �!�^ � o Ln a c o Z an.r ' ❑ <br /> 0 to 0. 0 <br /> LIST AGENCY: <br /> PllnIad Name: ��`� �ii//, Q 4 O 0 r o <br /> C o N <br /> u. X U : E nw � MATERIAL SAMPLE <br /> Sample ID Dale sludge sou Wolof Alf "O or CONDITION/ <br /> cants m > a► U Q U U I]�SGRIPTION COMMENTS <br /> Cpk Pr--c <br /> 4 <br /> �T4 <br /> f <br /> r <br /> Rollnqulshod By(slgn Panjo4Namo Da! / Rocelva 1Qn lur <br /> l` �l �� 5 9� P1 Wad Name / Dale /y <br /> _ no <br /> a q� d W P[Inied Rame. Dalo, Rocolved(sJUnalule Ps rated a Da L <br /> Tlmo <br /> RrjlEngulshed BySsJpnalure), Pllnlod Name d�Ima ale Rucaiv«J I ! o) r'llnled Name nme, 0 <br /> _ �. DaJe c <br /> t � Tlme• <br /> n«a « <br /> 0 <br />