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JPIOIL <br /> COMPANY _ JOHAIN OE CUST DY ECO D Dato: <br /> �0L ENVIRONMENTAL ENGINEERING WEST Sorlal No. O Page <br /> Site Addr©u: 341 East Main St. Ripon, CA Analysis Required LAB: cs <br /> IN1CN: <br /> 204-6522-0307 CHECK ONE III BoxONllf CrIDI TURN AROUND TIME <br /> Shell Engineer: Phono N <br /> o . (510) � Ow lllododrMq till 24 hour ❑ <br /> Karen Petryna 1Fax2i.1-B)27821 lie rnv@iladlae ❑ 4"1 di hours ❑ <br /> Consultant Name & Address. 0 s.rcta Vy/ohporar [❑ 4,u2 <br /> I t days E]tHormc4 <br /> to <br /> Warr <br /> ^ rIm ClasrYyJDlsporol ❑ u1f Orh.r ❑ <br /> Cansullanl Canlact. Phone Na.. (408) = o co <br /> C4 141110 Ism of Sys <br /> )Francis ThieFaPO--0 — <br /> Hartb as <br /> Comments: r loan Us No1gy <br /> eof <br /> � D � Wd•f R.ra or iys soon syr toniDr•of <br /> M O i M ❑ 11U 24!19 his IAL ~'� <br /> 0 ►�- z oth.r ❑ <br /> Sampled by: "' 'n 0 a o c >- <br /> 0 0 to o in C UST AGENCY: <br /> wt„ uOaT NPrinted Name: L4 q w p uoo C <br /> SAMPLEo a. MATERIAL <br /> No of c z ro N a .A c 9 E CONDITION/Sample ID Dale Sludge Sol] Water Acants N a a o DESCRIPTIONCOMMENTSa a <br /> /��/ �� � 3 x �� ro�v �r•9 <br /> i <br /> r — <br /> t <br /> 36 <br /> Rollnqutiha B hrro): - Printed Noma Delo 0 Rocalvad(slgnalure). P1140d Name- Dela: <br /> �,12resl� c7 <br /> 0 <br /> Relln od n e Printed Noma. Data Rocatvad(slgnalure) lntad Hama <br /> Tkno, Time. <br /> Rall ulsha ey 616nalur Prinlod llama Dula ^^ Raculvad(signature) Ninlad Name Dal+; <br /> i Time, (lme: <br /> ESABORAMBY MSi51 PROVIDE A COPY OF THIS�IJAIN-QE C95TQQY WITH INVOICE AND RESULTS, <br /> .. <br />