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SLL OIL COMPANY ri--t <br /> HA1N OF CUSTODY RECORD Date: � ' 9� <br /> REIL ENVIRONMENTAL ENGINEERING - WEST Sorial No. r Z� - r-1 <br /> SII©Address; PagQ /o! v <br /> 624 W. Charter Way, , Stacktozr; CA Analysis Required FTM <br /> dy <br /> VSIIC#: S204-7524-4305 <br /> Cr/Dr TURN AROUND 11141[ <br /> 5holl Englnoor: hono No. (510) 44sr <br /> Alex Perez 675-6168 24 noun ❑ <br /> :]F:ax #• 675-6172 SlLrnv.rrlpalbn ❑ A"I <br /> Consultant Nape & A dress: a 4Ihoun ❑ <br /> Blaine Tech Services, Inc. 2 Sol Ckmity/D1rpo,ar ❑ ",92 <br /> 1680 Rogers Ave. , San .lose, CA 95112 lsday, M(Nomwo <br /> Consultant Canlaci, W worst <br /> Phone No (408) C1wrWroLrwral , C] 4"3 ❑ <br /> Fran Th3e 573-0555 N N saWA4term orsys olne <br /> Fax #: -7771 a 0 o A M ❑ us: <br /> Commonly; Norr N.11ry Lab a, <br /> 'D N <br /> Wats Rea or Sys loon as rorllbb or <br /> V <br /> O a p N � O a AA 44S3 21/44 his.lAf <br /> Sampled by; --73: N N z o1n.r 0 <br /> a a o [ N <br /> Prinlad Name, 7--- o o a 5 la a 0) UST AGENCY: <br /> s7 uo ( rn C <br /> -�� a a aa. o n �, , <br /> ru v :: 0 C M O C p <br /> ° y1 Oo a v. SAMPLE <br /> Sample ID Dal° Sludge 5011 wolor Alr NO °r x x W � ,0 `c a. E MATERIAL <br /> coal: ,4.. m a- V V V DESCRIPTION CONDITION/ <br /> 1^. - <br /> /j'1 I COMMENTS X x <br /> /v?P�/ z 3 x x 7q <br /> x x 83 <br /> XLallnqulshad 8y(slgnalu ), Palnled Namo, Dalo t R <br /> ( O <br /> slur ) Prinl d Name. alo <br /> ellnqulshod 8y(slgnalure) Prinlod Name. nmo <br /> Date r Rocolv (sl lure) Prinlod Namp: <br /> oiingTlm� e �ivGn <br /> Wshod By(slgnaturo)• Prinlod Namo Date Roco signaluro), <br /> 1`1111100Time <br /> ied Name, Dolo- <br /> Tlmo• <br /> THF <br /> 31mo <br />