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LL OIL COMPANY RAIN OF CUSTODY RECORD Dale: 01��Qo <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No: page 3 oS •7 <br /> I I <br /> SlleAddress: 4W W• j � man Lt&r Analysis Required LAB: Se4'" a'— <br /> i <br /> r f P 1-j 5'aco}5 ' clacK Out(1)lox ONLY Cf/C1 TURtl AROUND TIME <br /> Y17as+fr�+K G t G�.Q K•{' 9S 9`�'S5 <br /> ' a W Monlodnv ❑ "&1 ZI how% <br /> IShell Engineer: [ss9j r.+9-9W6 <br /> + an.Invorngatwn ❑ 4"1 4e hour, [] <br /> ,rlv1 h 2e1 Fax : us-ass o <br /> CAM®RTA FNVIRpNME1STA►L "f�GH No�ot�Y 1rc• v W � ❑ <br /> Consullanl Name & Address: a soncia,ary/c <br /> 16 days <br /> Nomar <br /> tQ � <br /> Q <br /> wal.� <br /> .O. 2 ars CA •7 cIa„try/DI, ,al ❑ <us Olhsr ❑ <br /> Consullant Conlacl: Phone No.: C sap/AtrPerm or Syr, ��sz <br /> (-?an)49s-4559 <br /> � op � � b i M t801Ei llollry Label <br /> A ut3teEy COOL- Fax 0' Q m.walat Rom or Sys soon a,I'osslble or <br /> Ur a a <br /> Comments: `✓ o A M uty "!4a h., TAF <br /> u U N Z Olh.r ❑ <br /> a: Q Qno �Sampled by: <br /> a <br /> 0 coUST AGENCY: <br /> DCO to _ rJ <br /> O o <br /> n. n. . " <br /> SAMPLE <br /> ame: o Prinled N <br /> a, <br /> t a E MATERIAL CONDITION/ <br /> No,of o o o U DESCRIPTION COMMENTS <br /> Sample 1D pale Wd" S011 WO181 <br /> Ali conts �`- ,". m } r U Q (� <br /> x t 17o <br /> -2.. 35.5 ' i3 <br /> SQ �o9 — — <br /> 15.8 "Z - � •5 � — - <br /> Sg 0930 _ <br /> 05391 <br /> 8 ; gt3 -2 so. 5 — <br /> I SQ_ 2 _cs,s' (000 <br /> _ <br /> S8- 2- k- 5 <br /> — � <br /> f Sg-�_ 5 15, t 1254 o C-~ <br /> l> <br /> Re quit ad 8y(slgnalure ;,-, n rfnl d Na e' flale:�-4 Re eiv�ed(sl l re). PrintedName• Date, IY 'ry <br /> Rokl&niei y I o Prinle blame: Dale, R ve nalur©): f'rhl d Namo� Date <br /> If Ik e Time: ZW l z", lime: rW <br /> I Rellnqulshod By gnalure). Prinled Name: Dale: R slue (slgnalure): Prinled Nam Dales <br /> iIme- T1rna: <br /> nrC I A 0n0Arr)Dv AMICI PonvilIF A COPY 0F11115 CIIAIN•0F•C1111001 Wl I I I INVO IC I AUD RESMUS <br /> anaenat ieoi <br />