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0 O] Yes <br /> Fax copy of Lab Report and COC to Chevron Contact: ❑ No Chain-of-Custo -Record <br /> Chevron Facility Number 9.0557 Chevron Contact Name) Brett Hunter <br /> Chevron Products Co. Facility Address 139 S. Center St., Stockton (Phone) (925) 842-8695 <br /> P.D. BOX 6004 Consultant Project!Number U 6 0 2-0 L Laboratory Name Sequoia <br /> San Ramon, CA 94583 Consultant Name Blaine Tech Services, Inc. Laboratory Service Order 9144488 <br /> FAX (925)842-8370 Address 1680 Rogers Ave., San Jose Laboratory Service Code ZZ02790 <br /> Project Contact(Name) Scott Boor Samples collected by (Name) <br /> (Phone) 408-573-0555 (Fax) 408-573-7771 Signature <br /> State Method: ❑ CA R OR ❑ WA ❑ NW Series ❑ CO ❑ UT Remarks <br /> o � <br /> Q N <br /> ` C7 G <br /> It It <br /> ° Fa 00 Q U m o Z ° aai <br /> U p X <br /> Z o `m m a o m a) O ¢ u1 <br /> m <br /> — a F- ~ + w m o t7 [� F- U <br /> a .X� a � 7Co X o u� rno IMU ami m co NU Xo Xa <br /> E 11 �Om H M o a o x N o nri K N � m a H d F� o a a Lab Sample NO. <br /> c� z cn vi i" tt mm m i- O a a u °? o - U m °° mS p <br /> r�1ac� <br /> 91 <br /> 6 r: <br /> U- <br /> .- <br /> Ta 2- 4 �, <br /> i <br /> FJ <br /> Reli e B Sig tune} Or tion t7atelTime r� Re v d By�(si�atre Org9fiz n Date/Time Z r Iced YIN Turn Around Time(Circle One) <br /> 24 Hrs. <br /> i <br /> Reli�6ishe y(Signature/} Organizatien D el ime Received t ature) Organization Date1T a Iced YIN 48 Hrs. <br /> ���`�� •moi -7 5 Days <br /> Reiinquis gnature) " organization Date m �� Receive or Labo ry By(Signature) D t i e Iced YIN 10 Days <br /> �' `(` ac r� r� �G`�t As Contracted <br /> n1�� � JlT` l0 <br />