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SITELL OIL COMPANY MAIN OF CUSTODY RECORD Dale: s7 <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No 5f'7o66s-IC2, Page o0 j <br /> Site Address: <br /> 1!! 3725 S. Tracy Blvd. , Tracy Analysis Required ",1 -7 LAB: �- <br /> ri l(:#: CHECK ONE{T)60X ONLY CUPT TURN AROUND TIME <br /> 204-7884-0901 <br /> G W ManMorinp u 4Td1 14 hour El <br />� Shell Engineer: Phoria Na.. (510) <br /> Alex Perez 675-6168 SR.Inv.dlpolon ❑ 4U) 4a haw, ❑ <br /> 1FaX #- 675-6179 o <br /> Consultant Name & Address- SoYCIauIry/D4pom[ ❑ 2 16daysYOE](Hormoq <br /> Blaine Tech Services, Inc " wars <br /> 1680 Ro ers Ave. San Jose C1ar�Ry/I1kpo�al <br /> CA 95112 x U43 Olh.r <br /> LU <br /> Consultant Contact i�hone No. (408 a m <br /> 573-0555 ) SoU/AlrR.raarsyr ❑ use <br /> Fran Thee 1FaX 9 573-7771 CT m Ln O&M <br /> � NOTE Nolily lab as <br /> Comments" N WaluRem orSys Zoon r+011lbFoor <br /> O <br /> n' O i rA ❑ 'l'tS3 11/ 6 his TAT <br /> u W <br /> 0 0 V X olhar ❑ <br /> Sampled by. keG Q to r o n o c C N <br /> t 1 p 0 co M rX s o� ,UST AGENCY: <br /> Printed Name 0. 0. W ° C ° SAMPLE <br /> = ° V1 d o n. MATERIAL <br /> x T Ea E CONDITION/ <br /> No of x x L" o A o v o DESCRIPTION <br /> Sample 1D Dale Sludge Soil ' Water Ali conls m } U Q U a U COMMENTS <br /> I <br /> RaU By ur Printed Na r ,Q P-Dale <br /> Rocolvod Ig alure) Prinled Nonjo Dal <br /> Tlmo <br /> eliniq sh d alule) Prinled Je ©cel gr alu Printed N nn Dole <br /> c Time <br /> rnqu[shed B Qnal Prinle ame Rocoty d{signaluro Prinln Namo ,,, f I Dale <br /> nmQ <br /> i./O.ah M W but <br />