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Fax co f Lab Report and COC to Chevron Co t: ❑ No Char ~of—Cus —Record <br /> Chevron Faclllty Number 9-0557 Chevron Contact (Name) Brett Hunter <br /> Facility Address 139 South Center St. , Stoc tan, C (510) 842-8695 <br /> FCholvron U.S,A. Inc. (Phone) <br /> Consultant Project Numberyfoz it- rad Se uoia <br /> X 500�Faboratory Namo <br /> Consultant Homo .,BlaineB] iTech Services, Inc. 9033850 <br /> Son Ramon, CA 94583 Laboratory Release Number <br /> FAX (415)842-9591 Address 1b80 Rogers Ave. , San Jose, CA 95] 12 Samples Collected by (Nome) D-, l-w, <br /> r <br /> Project Contact (Noma) Fran Thie Collootlon Date ,,A E <br /> (Phan,)x+08-573-0555 (Fak 11umber)408-573-7771 Signature <br /> Analyses To De Parformod DO NOT BILL <br /> e � <br /> o FOR TB—LB <br /> z° c��n C n <br /> E E' o <br /> V v o <br /> z <br /> g <br /> :1o. b � B I � o x2 a �?• � s `a c <br /> 4N VUR l b atiN fn 6N Y^F �� hn a ... <br /> d OC. }�N C7 U b U•c7 N a N 71 n <br /> r illy �v Ov [Lv (Lvv l S U ti <br /> Remarks <br /> mow' M 3 <br /> AW- <br /> 111,E-3 ��/( <br /> MW- U !z S x <br /> �'I1J•' (� l 3:l� <br /> w - - <br /> M,,,1 <br /> v Rsilnquished py nature) Organization Date/T1m Dy (Sig ) OrganizatEon Dats mo <br /> /`11 /Q 3 Turn Around Time (Circle Choice) <br /> 01 -r ,5 <br /> ' G 4�e 24 Hn. <br /> Rellnq By (SI tura) OrgonlzaUon Date/Time Received By (Signature) Organlzatlon Date/nme 48 Hrs. <br /> 2 5 Days <br /> A. Day. <br /> ,qulshed Ay (Signature) Organisation ate/Rme lisaleved onlro <br /> lad <br />