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WORLD OIL <br /> DeMennojKerdean dba World DII Recycling e <br /> ■i. <br /> 'Recycling fur a Cleaner Envlronmeat" a of Custody <br /> RECYCLING,. 2000 North Alameda Street,Compton,CA 90222 t � _ �a C? <br /> Ph(310)537-7100 Fax(310)639-1254 Date Page 1 of <br /> CA DHS E1.4 P Certsl icate#2037 <br /> Client:_410L TIRES & SERVICE Contact: g - Tel: 209-983-9495 Fax: <br /> Address: 4336P4WLANE SUITE 200 City: STOCKTON State: CA e: 206 <br /> Project Name: SUMP WATER Sampler(s)Signature: <br /> Project Manager: Dave Boyd, Chris Goff Approved By: <br /> Due Date 0 Regular ❑ Rush Days Comments: <br /> Lab Date Time No. of <br /> Sample Description ID Collected Matrix Containers Analysis Requested <br /> C. k_. <br /> ACCOUNT: GCR600 <br /> CAL0004040901 <br /> (A X012 t l n 202•> ci-Ko �'~ <br /> Sample Conditions: Seal iitact en None; Temperature ❑ CW Jd Rom; Other <br /> Relinquished by (Signature Received by (Signature) ate/Time jd 2 ,zD Pim <br /> Relinquished by (Signature Received by (Signature) Date/Time Z : Za <br /> Relinquished by (Signature) , 1 Received by (Signature) Date/Time I • L _ 7-D 4 <br /> SPECIAL INSTRUCTIONS <br /> E-mail results to: dboyd@worldoilcorp.com, sread@worldoilcorp.com, cgoff@worldoilcorp.com <br />