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SH . <br /> OCL COMPANY CWIN OF CUSTODY RECORD Date:I7� q <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No- Page <br /> Ik311e Address: 1 Analysis Required LAB- <br /> v�4 2 1f Frc...�.. S - .S-T-DGIC �,a.. — <br /> t, 9,�9 0 � CIJECK oils rI)sox Dory crlDr luau Aaourla TIME <br /> C� !] Qq (c 13 ` GW Monnorinp ❑ Aldi 24 hours ❑ <br /> T <br /> ;hell Engineer. Phone No - S:rl � o� <br /> GS�.r 93a(A t sna lnr.dlgotlon [.�]�u4r 4e hour. ❑ <br /> KoLrer, {fie r Fax fl: S-SGY3 " <br /> Consullanl Name &Address. <br /> a 7O co-K,.-.J ,S4. Q SoR CIntelry/DIsposal ❑ u12 IS days (IlormnQ <br /> C co Wo1°r ❑ 444] <br /> SC►10r*rc} xa ClnrrllylD�porol Olh.r ❑ <br />� Cot rn br r R n V ' aR on!h o r+� � '�' a "Jrl <br /> Consullanl Conlacl: Phone No.: -747 oll1MrRom orSyr [:] 44si <br /> 939— R 13 z to to more rrollly rob or <br /> Fax il• 93s-6G cl n a to �` Wofar Ram.or syr soon as Porr,ble of <br /> N R. C3 O a 1 ❑ A453 24145hit IAT <br /> Commenls� C:, <br /> i1 U ax. ~ N Z other ❑ <br /> Sampled by. o �, °a a v, e, c LIST AGENCY: <br /> D <br /> 0 ru SAMPLE <br /> Prinled Name: D rr e ° �R v " `a � � o � � v a C MATERIAL CONDITION/ <br /> No of x r. M o o t a m o DESCRIPTIO COMMENTS <br /> Sample ID Dale sludge loll waist Ali a �. <br /> coals 01 r– m 7 ►– U Q U n U <br /> t Sze <br /> SR-�- 70.0 1 r - <br /> _ to <br /> TX� <br /> � N <br /> 5 W <br /> 0lI 1'SL 1.;�1It11RCQ IS. TINT # I <br /> � ER <br /> Reil Will By{sl r l Prinled Name Dale 2 /c Recolvod (slgnolure) Pllnled Narne Dale L I `xi <br /> C. .-Q 41 lienee/ n llme: f', 33)_ <br /> Rellnqulsho By(slgnalure)• PIII11ed Name- pate R cb elved(slgnalurn) Pilrrled Nall Dole• <br /> llrne Tlrne: <br /> Received (sl nature) Prinled Marne Dale, <br /> llln ,d 8y(slgnalure) Prinlad Narrre. halo�Z s Tlrne <br /> rjru� 1{ma <br /> P <br /> O U O O OF 1111 CHAIII D CU Qr) W-1111 <br /> -IIjVQ-1cE6NQ R SU 5 rw«w.nG.�ow <br />