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SMELL OIL COMPANY, CHAIN OF CUSTODY RECORD Dale: <br /> RETAIL. ENVIRONMENTAL ENGINEERING - WEST Soria] No:.., g7d8ZZ S j Page of f <br /> Silo Address: a <br /> 4445 Pershing Ave. , Stockton, CA Analysis Required LAB: <br /> wico: , , , <br /> 204-/524-2408 � CHECK ONE(ti)box ONLY Ci/Dr tuRN AROUND WE <br /> G.W. monsoft cul 24 house ❑ <br /> Shall Engineer•. Phone No.: (510) ,f <br /> Alex Perez 675-6168 slotnr98110a11on ❑ .cul {shat.. <br /> Pax #: 675-6172 Cl <br /> Consu Ionl arrle & Adddress: sosGosrlfy/DYsposal ❑ aur <br /> ]]]eine er Services, Inc. ]tears ®LNorrnaA <br /> 1680 Rogers Ave. , San Jose, CA 95112 X Milo <br /> Consulfanl Conlacl: Phone No.: (408) C1aulryrlaLposal ❑ 3 allies ❑ <br /> 573-0555 w 00saRlA4Remor;rs, ❑ 4ASZ <br /> Fran Thie Fax #:_571-7771 0 °' >n °""" NOIL NoWy lob as <br /> d ^ od Wd•r 1tee4 of sr. � soon as re.dW.or <br /> Comments: T1 i7 L`% oQo r O h M [324!48 his TAI. <br /> o 0 C) M <br /> u a Z 01hor ❑ <br /> Sampled by: ,fir r e v "o c N <br /> 0 d► a o N �, o UST AGENCY: <br /> .. <br /> SAMPLEPrinlod a o p MATERIAL <br /> No. X E a E CONDITION <br /> /Sample ID Dale Sludge Soil Walor Air d o o o m ° DESCRIPTION <br /> Ucanis. > <br /> COMMENTS <br /> a f <br /> w3 37 3 <br /> M -4 -5 <br /> • <br /> Pop 3 <br /> 6ngtdshed By(Sign <br /> aluro): Prinlad Nam Dalo� Rac od(slpnalura), �- Prinle arrfo.� � Delo- <br /> a saw Eo r� '�� 36 <br /> aaeEa <br /> %Asha awe). Prinlad Name. Dole Rocolved(slgnaluro), Prinlad Namo. D° v a; <br /> lime rima � <br /> had By a e): Prinlad Name: Daly, R o (sipnolu e). P,Inlo Name _/�$�q <br /> lima. 1-O <br /> (2 <br /> F <br />