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DeMennolKerdoon dha World Oil Recycling <br /> WORLDOIL "Recycling for a Cleaner Environment" Chain of Custody <br /> RECYCLING,.0 2000 North Alameda Street,Compton,CA 90222 Date515_�-7 Page(310)537-7100 Fax(310)639-1254 ] <br /> o f I <br /> CA-DHS MAP Certtficaw#2o37 <br /> Client: DELTA TRUCK SERVICE DEL040 Contact: STAN SHAW Tel: 209-983-2400 Fax: <br /> Address: 10182 S. HARLAN City: FRENCH CAMP State: CA Zip Code: 95231 <br /> Project Name: ., � F:: � f VA-P 1 �p Samplers) Signature: , <br /> Project Manager: -- Approved By: <br /> Due Date ❑ Regula O Rush 2 Oclys Comments: <br /> Lab Date Time No. of <br /> Sample Description ID Collected Matrix Containers Analysis Requested <br /> WATER FROM EVAPORAI ���j' ., l2 �.��f.?p :�,�.� LIQUID 1 TPH as gasoline, diesel, and motor oil <br /> CAM 17 METALS <br /> BTEX <br /> ACCOUNT: DEL040 <br /> CAR000077909 <br /> ssra `Z6 <br /> r4k v <br /> Sample Conditions: SealIntact LJ Broken Ll None; Temperature Ll Cold 91 Room; Other <br /> Relinquished by (Signature) Received by (Signature) Date/Time zj-I-j ZiD <br /> Relinquished by (Signature) Received by (Signature) ;.� Date/Times -� y <br /> Relinquished by (signature) Received by (Signature) Date/Time <br /> SPECIAL INSTRUCTIONS <br />