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sMLL OIL COMPANY AIN OF CUSTODY RECORD Dale: 6.10• <br /> RETAIL. ENVIRONMENTAL. ENGINEERING - WEST Somal No. `1106+0- ZI Pago t of I <br /> SIIB Address: <br /> 7910 lower Sacramento Rd. , Stockton, CA Analysis Required LAB: �UQII� <br /> WIC#: <br /> 204--7524-0808 CHECK ONE(1)SOX ONLY CT/Dr TURN AROUHD AME <br /> G W Monllodnp � flit 2t how+ <br /> Shell Engineer: Phone No. (510) <br /> ❑ <br /> Alex Perez 675-6168 ❑ ua� <br /> Fax fl' 675-6172 AS hours 0 <br /> ConsullanlIVI ff 1 Address 8 Say Cro.sRy101sposur ❑ 4"2 <br /> Blaine ec Sery ces, Inc. 16 days rHcrmon <br /> � <br /> 1680 Rogers Ave. , San Jose, CA 95112 X wafer ❑ � <br /> Consullanl Conlact: Phone No (408) °`"�' ❑ <br /> 573--0555 °' OAJA4Romar3p�, <br /> Fran Thie � � � ea aM ❑ "S2 <br /> Fax P. —7771o m Q .n Holt Ho111ylob a. <br /> Comments' a fl- WOW Rom at Sys soon aIlo++lbl.ar <br /> • �N Liso a M X53 2</Is hr► TAT <br /> O o O N <br /> C3 <br /> CJ a� def x Mot ❑ <br /> C �n •h <br /> Sampled by: C> � 0, a o H N o UST AGENCY: <br /> Pnnted Name- W w W �`o .n ° d v aMATERIAL SAMPLE <br /> No of x x w o m o DESCRIPTON CONDITION/ <br /> Sample !D pale Sludge 5011 Walor Air Corals ,°`. 4- a > �� U Q �j a U COMMENTS <br /> —— COOF-iRM MTBE } M`e-1 BY <br /> Mw-1 x e26b <br /> 1 <br /> Mw 3 k 3 x <br /> Ela x 3 x <br /> nqu d By(signature). Prinlad Name Dale Roc od (slgnalure) Prinlad Name �` � Dale r 35 <br /> Tlmo ��-�1 �' lfQi —7 --/ Tim, 1.6s <br /> ulshed By(signature) Ninied Name Dale Received (slpnaluro) Printed Name, Da e <br /> Time Time <br /> ul:had By(slgnalura), Primed Noma Dalo R d s nalufo) Ptl1nZlod*m �1 Dale It 3' <br /> 11m4 Time 3 <br /> ISM d1 Qh M Cuea1 <br />