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- ELL OIL COMPANYCHAIN OF CUSTODY RECORD Dale: <br /> `IL ENVIRONMENTAL. ENGINEERING - WEST OSerial No: Page of / <br /> 511'e Addres : a ,� r Analysls Required LAB: ,z <br /> , U i' I t _ ,� <br /> •"C� ' (u CHECK ONE!U IO%ONLY MIDI TUNN AROUND TIL19 <br /> �)L " ] s. .•� r n a * Gw mooRadng ❑ 4161 <br /> El <br /> Shall Eno lneer: Phone No.: to) 24 b°"" <br /> 1 Z FAx ; 1 ai•Invsilgallas 1141 <br /> (- 41 Moon ❑ <br /> ConsEllldnl Name a Address: {ppv Sol C643611r014paral ❑ 444: <br /> 16 day,00 <br /> roraroD <br /> wa•r <br /> nO Q`` Cla.�uy/DGpo�al ❑ d1A•I ❑ <br /> Conslllldn)Conlaci: Phone No.: to-/ m � IONIAN mom ariyr �4al <br /> + 1 �3S •tb� j 91 <br /> �l { �_ i Fax fl: -) 3 t Ga',Y�l 8 �_ q LO a o.M ❑ ROTE. Halls lab as <br /> O Q .-. waist Rem or iy� loon at 1ouIW al <br /> COmmenls. .d ,d F odp �, o R u ❑ N63 74/I9l,u IAT <br /> Sampled by: <br /> $ o , N o UST AGENCY: <br /> Prinfad Name; u (r t - 1 ? 1- C CL fu c `� ' ,. r ° a 8 SAMPLE <br /> No of x , Fi 'i , ' a E MATERIAL CONDITION/ <br /> Sample ID Date sludge sou Water Air cants j ;I 0 a°1 U°DESCRIPTION COMMENTS <br /> �t3r 3 <br /> G <br /> Received{ polure). <br /> R ��" d sna a): Pr n o Nrxriw Delo. 4 s Pr rated Name. pole, <br /> F <br /> rJ % 'Q 1lryte. t��� <br /> dY( Onahxa): Prinfed Name: Dale- Received(Signature). Prinled Narne: ,. <br /> R>oi <br /> Time: <br /> RaYrlqutshod ey aignature): Printed Name: Date. R*cmker Ptdf=Narne.�(/ Dale.TllE �(� flrTTe; 2 <br /> $Y MUST PRO111QE A AQUAS LTii13CllAf ifiIQBY.YI[Ill11kLY IC9AD-REUIJ <br /> !.M Cie M <br /> t <br />