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FOX Copat Lab Report and COC to Chevron Con A. ❑ No Chain—of--CuSf --Regard <br /> Chevron Facility Number —4275 Chevron Contact (Name) Brett Hunter <br /> Fooluty /Address 2905 W. Benjamin Holt Dr , Stockton (Phone) (510) 842-8695 <br /> Chevron U.S.A. Inc. T <br /> Consultant Project Number r ZS s( Laboratory Name P � a� O t A <br /> P.O. BOX 5004 Blaine Tech Services, itnc' 9033$55 <br /> Son Ramon, CA 94583 Consultant Homo Laboratory Release Number <br /> FAX (415)$42-9591 Add,,, 1680 Rogers Ave. , San Jose, CA 95112 Samples Collected by (Namo) DD06- 5 4 4109 3 <br /> Project Contact (Name)Name Fran Thie j Z'57—ct <br /> ( Colloollon Data <br /> (Phone)408--573-0555 (Fax r1umbor)408-573-7771 Signature <br /> Lf7 Analyses To be Performed DO NOT BILL <br /> �x n e e ~ <br /> p � FOR TB-LB <br /> AU �� v <br /> x � a _ <br /> 9 c <br /> C6 {� 81 ° x`d'r o o <br /> X a <br /> r <br /> 0. - N <br /> o � qVo L I n vo ?—" 1pt�1`� U^�/'�j� o N <br /> 6 fO 4 rN n`� LN 6�ttln .1 <br /> L v "� o o v; ,o rrb Ir.av n N :1 tS <br /> N x J N r FC'- ai u ° nxn m _ e a� + m a y ��((� l) v <br /> Vv R~ (Lv � !J V x <br /> " 0 � Remarks <br /> AW L 02 (P p #Los X K X <br /> -14 qas X x x <br /> L w-S` OS b W D 12,7.0 )C X X <br /> n�?W•"�O•� �tP W ID 1005 X <br /> x <br /> � <br /> AW-7 A 01 (P <br /> +Mw-v 0$ w ID wo X X x <br /> W <br /> TD ' 4L Z— w D K <br /> Rs u hsd Sl4nature} olvanlzallon {D le/'iJme Reashrad - "Iqn ro) Organh allon Dale/tlma Turn Mound Time (Clrcls�hglpe)� r�C <br /> II (tpf <br /> ' 05 r, ' 3'A i 12 // '� Cb LJ <br /> 24 Mrs <br /> Relinquished by ( Qrganl�[L��gtfpo Date/Time Recd Dy (Slgnaturo) Organization Date/Timo 4Q Hrs. <br /> ! g oa 5 Days <br /> '4%qulshed Dy (Signature) Organization Dole/nme ileclaved IorLa ralaoy Dy (Slgnuture) D te/T1P <br /> SO Doys <br /> ' I he Contraoled <br /> V J1 Al <br /> � ! <br />