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0 S L OIL COMPANY IN OF CUSTODY RECORD Dale. 6-10— - <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No g'16410. Zi- Pago I of I <br /> Silo Address: <br /> 4445 Pershing Ave. , Stockton, CA Analysis Required LAB: dab <br /> w1Ck. <br /> 204-7524-2408 V.` clucK oin(1)sox 0my crIDr SU911 AROU110 71ME <br /> Shell Englnoor. Phone No (510) OW monllodnp "41 <br /> 24how. ❑ <br /> Alex Perez 675-6168 Slt.lnre�llpplbn ❑ ut1 <br /> Fax #• 675-61.72 .46 hours ❑ <br /> Consullant,IJVa[no & Address Som Ckulwy/D1,po�ur ❑ 44t2 <br /> Blaine ecz Services, Inc. � ladoyr ®(normal) <br /> 1680 Rogers Ave , San Jose, CA 95112 x wooer <br /> O w C1og1Ry/Dkpowl ❑ 441J Other ❑ <br /> Consullanl Contact. Phone No (408} .. N oaM Rernersys E) usi <br /> Fran This 573-0555 <br /> FaX # 3-7771 v °1 ,= Y Hots Noulytobo, <br /> Commenls. Woler Rem.or Syr ❑ ron as Possible of <br /> d [V iV O M MS3 74a/48 hro IAF <br /> to <br /> X <br /> Sampled by: a <br /> 4 z alh.t Cl <br /> 139VTr b a to <br /> oin 0 <br /> ` " o UST AGENCY: <br /> Printed Namo' a s w �0 -0 ° e o SAMPLE <br /> No er s v7 x 1 E d a' MATERIAL <br /> Sample ID Dolo sled a sol] Walot /tlr x w +� o ar E CONDITION/ <br /> P g conk ,r' m j °' U a V �; U DESCRIPTION COMMENTS <br /> 3 K CoopipM IA14AE—T MSE 'Air 5Y �+ , <br /> k <br /> 3 x <br /> a- <br /> qui d By(signature) Prinled Namo Dolo Rocelvod (slgnalure) Pflqjj9d Name r bolo J <br /> Rd urs d By slgnalure Prtnlod Namo Dalo Roco ed (slgna uto) Prtnlod Namo Dale <br /> Time rima <br /> Rallnqulshod By(slgnatu o) INInled Namo Dalo Rocolvod (signoluro) / Ptlnlod Namo Dale <br /> 7IMO l ITIMO 3) <br /> .TMj -QF T1115 Q) 1H INVOICE 6NQRE=S- <br /> e."a Oa 04 Lube' <br />