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Nc LL OIL COMPANY HAIN OF CUSTODY RECORD Da+e• !-7-`�Seilal No; Page of 2 ' <br /> SlIa Address: 79ia, 640,24,"0-770 rza, <br /> 13-,v(R rov 64 Analysis Required LAD: Sgct.4 <br /> ICII: 20 y- 715-2 q-aSrOS/ . <br /> CrIFCK ONE rT!IOx OHIY CI/q1 TURN A!D[1HO 111611 <br /> Shell Enpineer: lPhoneaW "400110110 44o 24 ham ❑ <br /> Alex Perez Fax N _ + Q Is&Invedlodlan [�4N) 46baan ❑ <br /> Consultant Name &Address; • ' <br /> CAMBRIA ENVIRONMENTA � � sanc��uyroaPot«t ❑ 444: <br /> 2?0 Perkins St. , Sonoma, CA 95476 to to� I' waist 111 days fqr"a""°'° <br /> Consullanl Conlacl; B t" �y cla" /°''�°{°' ❑ ��" ❑ <br /> Phone Nn • �0 � � � ah.t <br /> _ }8 Q.l Nam as iys, ❑ 1/f� <br /> Tam Magnet'/TO� ,i�Ecy [] <br /> Fax �t: — r9 W Q to NOTE HaIVItab as <br /> Comments; a. wd•l Ram.m ft', s«a• /aulbl•as <br /> Qd p C3 o h m ❑ 4463 24141 his IAT <br /> Met <br /> Sampled by: TM, , in r a t m Ti Z <br /> toto <br /> o lk ,� '? m UST AGENCY: ��+'mAQurN Co_ <br /> Printed ame• T aQ a ly 0 o �1 n c a — a n 'H I ao oSAMPLE <br /> MATERIAL <br /> NO x E ni c a E CONDITION/ <br /> Sample ID Dela Sludge Sall Water All canli j ,� �j U i°J DESCRIPTION COMMENTS <br /> - <br /> /{t7� <br /> �- ,2.a 1 b` ° <br /> no <br /> 13-1- /7,o <br /> (3- I- 2y,0 <br /> R• nq y pna me). Rinled Flame, Dale, Racalved(s hire): P,n! me. Dais;a'71f7 <br /> Tirtti� <br /> Rsil,tiqulrhed By(tlpnalura): hlnled Home. nnle: Reca a (jlpna ura). Prinlad Name: <br /> Time-, n1Ye� . <br /> Ratufstdied by(dpnalure): hlnled Name; Dale, Received(danalure); Prinlad Name. Dale: <br /> 11€IAMMTOKMOuaO IDE A C n t�alr�� tl rQ� rmur��l��ewrt s tltx <br /> t�Mp tp.q <br />