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ELL OIL COMPANY 41 CHAIN OF CUSTODY RECORD Dale• -�� <br /> • AIL. ENVIRONMENTAL. ENGINEERING - WEST Serial No: papa ENGINEERING .3 <br /> r 79- ,Ar-dress, <br /> SRCk-7M Analysis Required LAB: fk <br /> tcr: 204- <br /> CHECK ONE(1{Lax ONLY CTlDf TURN IItaOUHD But <br /> Shell Engine r: Phone Ain, 510 <br /> G w hlonRodav ❑ "it 94 hoan ❑ <br /> 335-11 o � ar.rnv.rroaHan <br /> Fax rr: Fitnaq4441 <br /> Consultant Name A Address: P.0. Box 259 Sol Cla..uylrol,Poral ❑ 4119 t6'�ays �(Hom�D <br /> Sonoma CA 426 co 0 co cb..WmkporQi 0 4143 ah„ ❑ <br /> Consultant Contact: �7 <br /> Joe Neel P977.-,9'�� `�47 OUM Rom o,Sys ❑ uf9 <br /> Fdc's �-664 0 <br /> Q La NOTE Nafttabas <br /> Comments:-0 O L r Rom or 1p 446] Soon as roask"of <br /> S 40 <br /> 9414/hrr FAT <br /> .� 2 � u Z Olh.r ❑ F-- <br /> Sampled <br /> Sampled by: <br /> ,, f $ m n N O UST AGENCY: <br /> Printed Name; Nom` � a A a a SAMPLE <br /> P a. E MATERIA! CONDITION <br /> Sample ID Dale Sludge Soil Wafer Air nt:r r U U U DESCRIPTION COMMENTS <br /> fL � <br /> s - 3Z% _ <br /> Zo- <br /> R1 ` y ana o). Pr �Nq[T{a Dale. _r-S ec d Dnalure}, d Pr�rTl a s r Dale S t-7g <br /> JJVV � d Ir'�VI Y I <br /> y ranature). Pr�a�d p►�l V r Dale (signature). e <br /> Time <br /> A y ilynahre). Polnlad Name Dale. Recd end�(slonatu Prinled Namehy.i� Date. JJ <br /> JUE[ABORATORY MUST PRQYIQE A COPY QETjIlS CHAIN-OF-CUSTODY WITH INYQIC <br /> R�NgOn N <br /> r <br /> i <br />