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11 0 , () f 11, <br /> 1 <br /> ELL OCL COMPANY ' j-)"I - 0 <br /> CHAIN OF CUSTODY RECORD Dale: <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Soria[NO;— <br /> Silo 5l�plQ7 <br /> Silo Address: Page oft <br /> 620 H. Chat'err.Way, Stockton, C© <br /> I KIICi: J�►ildly5lS Required LAS: <br /> 204-7524-4305 -- <br /> c3nupc ox[n1pox aaatr c[rar tuut"Mm TM <br /> 51011 Englnflor. =Fax <br /> ony No.: (5 10) car, k6maloft u�r <br /> Alex Perez675--6168 34 how 0 <br /> is 675-6172 � a9uo• ❑ a"r <br /> C I1anl ame$A�Idresa: o ea s4�.. ❑ <br /> 1680 Roge s Ave. ,Services, Inc. <br /> Jose, CA 95112 b SaCh-RYM —W ❑ <br /> X wd.r 16d°l' ®Ormno4 <br /> Coruullanr Conracr: Phono No.: (4 08) m orla .a ❑ uu <br /> Fran Thie 573--0555 p1he, ❑ <br /> ro <br /> Fax A- 3-7771 a °° so W/uman ors� <br /> Comm eels: t9 4 �, ohm ❑ sup <br /> Wo[�e Sts How He3Yt las a� <br /> ' p <br /> ohm <br /> Berm a 33� �� peon a�Femme of <br /> Ulu ku MIL <br /> -%Mplad by: ° v <br /> R z OIL" ❑ <br /> 0 0 � a o <br /> � M a UST AGENCY: <br /> Annlod Namo� 0 /, j d 4 a O o u o <br /> • w nu Y 0 4 C O C b <br /> Sample ID Date Sludge Sop VSlaoar /Ur No.of x x .x.� ,. E ,°o c a E MATERIAL SAMPLE <br /> COWL m a o 2 ° DESCRIPTION 'CONDITION/ <br /> U u <br /> )- - COMMENTS <br /> sli <br /> 1 1 <br /> I <br /> ----------------- <br /> M <br /> Arinted Name. <br /> 7ZI 1, Alis 22/ qac°vad t?bnalut - Primed Name- <br /> r Z91 <br /> y(dgrw t4 a) Dole <br /> Bdcvlvad(slpiwlura) 1 <br /> n gvllrygt�3tlad By(rJWmtura). Prtntad 1�1ama. oma• PY631ad Name, <br /> Da o- <br /> Dale- $ocaly°d[3lgnolur°) mo: <br /> M10 <br /> Pdlilad Naim: oat° <br /> Z <br /> > fi►a- <br /> •1.•O/Ow fC++Y <br />