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I <br /> SIL OIL COMPANY 6HAIN OF CUSTODY RECORD Dale: �/ 7 <br /> R L ENVIRONMENTAL ENGINEERING - WEST Serial No 97c'yo z - tf/ Pape <br /> Site Address: 141 N. El Dorado, Stockton, CA Analysis Required LAD: S�dNa� <br /> WtC#: <br /> 204-7524-1509 CHECK ONE(1)11OX ONLY CT/DT 1URN AROUND TIME <br /> Sheat Engineer: G W monmorino I} "M <br /> g Phone No . (510) 2+how ❑ <br /> R. Jeff Granberry 675-6168 Sk Involwoibn <br /> Fax #: 675-6172 ❑ 4u, As hours ED <br /> Cona2lonlINafne & Address <br /> Blaine ec T Services, Inc. SoNClnsslfy/rolspofol El +u2 <br /> W l5days ❑iliorrnafl <br /> 1680 Rogers Ave. , San Jose CA 95112 Wolof <br /> X <br /> Consultant Contact: p Tie No . (408) ^ a cloflW/nlfposo, ❑ ++13 Olhet ❑ <br /> Fran Thze �73--0555 A O&M Anti or Sys "S2 <br /> Fax # 573--7771 v lu °'M ❑ <br /> In NOTE NoMy lob of <br /> Comments. �� O&M <br /> ❑ Ma3 soon of/oulbl.of <br /> .. 24/41 his TAT <br /> x <br /> 0 V] N <br /> Sampled by. cr tn o C � oin.f ' ❑ <br /> a, rn a o J o UST AGENCY: 71D -7 <br /> Printed Name. �r^R a. w w a) o - ` ° r d o SAMPLE <br /> Na o! w �, E a MATERIAL CONDITION/ <br /> Sample ID Dale Sludge soil Walor Ali conic r: > °1 u ¢ U u DESCRIPTION COMMENTS <br /> Li <br /> ve6r3 Kk I� <br /> G ?� x <br /> ,IV <br /> `i <br /> a <br /> Relinquished B (slgnalu(pPrinled N IQDOW 4(3 7 Raculvod{(slgnatuie) Pilnlsd Name Daia• <br /> Relinq shod By(SIgnaluYQ).7v N111loq Name1 Date tj/3 7 Reco1vod(slgnal o) Punted Name. Date <br /> S Ke M n l T� Time + Time <br /> Roiingtilshod 6 gnaturo). Prinled Name Dolo ROCON (SIgnpture) Prinlod N me Data 3 4 <br /> Time ' (.'F-a Times <br /> MIO+ MCuw� <br /> i <br />