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---41§ <br /> HELL OIL COMPANY CIAIN OF CUSTODY RECO • <br /> RETAIL ENVIRONMENTAL.ENGINEERING-WEST Serlal No : RU Date, <br /> She Address: ' 1 Page o! <br /> /4(r' vn Q �fL1,;► , Analysis Required LAB: S� , <br /> w1cf: t <br /> . L, `7 /1��1 G 01ECK DHE t I)sax 0N1Lv cUpr TURN ARGUNo IDAE <br /> a engineer: <br /> Phone No : 5 0 W Uw1colna I I I461 <br /> .� tt')cr Fax N: eke kwutgallan Cl 1111 tl lwue Ll <br /> Cogs to erne 3 Address: _ g eo1 c1..,rr+Olrpos+l I I u�i a 1q,re !_I <br /> IDSo mlELob 1,1+*Ibo Ro�tgIL-LE CA. w.l« 15 aa" K1►+« wal <br /> ntu an n a : P one No 1{p: aa.artlol.�,.r I I 4417 DOM <br /> 1g7--Z-11 Ug ire #*Ak Rom es en <br /> h,llfu�lrl,r Fax N.7 - � a.at <br /> m <br /> Coments: 1330 Dam <br /> � •a <br /> T,f('1 I{(1 lt) i �CILI;jc'�l,% �Ln. 1Mrru Ran er sr. TE+MPPCssIDN orNotly Lob ` <br /> opo Gill L� 1167 1111ih■ TAT <br /> Sampled y: , --- -- In oaao I 1 <br /> a UST AGENCY: <br /> Printed Name: <br /> x = MATERIAL SAMPLE <br /> Na nr <br /> Sample LD Date Sludge Bop Water Alf aESCRIreTION CONDITION/ <br /> cents H COMMENTS <br /> rrt luekT- 12 3v t tia0�Pvl� <br /> r) )J <br /> 8 I <br /> s <br /> lief Ifehed <br /> lyr �� ,�■ I•a—�_ Pilnlod NarrheGl�' � 11 G�� Dale 12 3i ecelved(elpnet,■el Printed Name Dais. <br /> l ssmiulsh d By(signatu al !Mored Name Dal �— Received(slgnakaa) hinled N■meMie <br /> time Date <br /> T#e11r1qurrh BT(elpnaturel !hint am■ Dale <br /> Ilecel (sipllaprel 1 Ire anle lime <br /> I pate <br /> Time ( f Q/l/L_ ilme <br /> THE UBOAIITOAY MUST PROVIDE A COPY OF TI11 C IAIN O CI TODY WITII INVOICE AND RESUL 5 <br /> REV 111+e7 -- _ . _ _ <br /> SI II 11 01 cnw4-iY f11A1N of rtAi- -)y <br />