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— 0 OU Yes 0 <br /> Fax copy of Lab Report and COC to Chevron Contact ❑ No Chain-of-Custody-Record - <br /> Chevron Facility Number 9-2033 Chevron Contact Name) Brett Hunter <br /> Chevron Products Co Facility Address 508 West Charter St , Stockton (Phone) (925) 842-8695 <br /> P 0 BOX 6004 Consultant Project Number 60 U�;? —I Laboratory Name Se uoia <br /> Sart Ramon, CA 94583 Consultant Name Blaine Tech Services, Inc Laboratory Service Order 9144488 <br /> FAX (925)$42-8370 Address 1680 Ro eis Ave , Sati Jose Laboratory Service Code ZZ02790 <br /> Protect Contact(Name) Scott Boor Samples collected by (Name) uc 4- <br /> (Phone) <br /> (Phone) 408-573-0555 (Fax) 408-573-7771 Signature <br /> State Method ❑ CA ❑ OR ❑ WA ❑ NW Series ❑ CO ❑ UT Remarks <br /> O <br /> C Q U O <br /> �4 II II V <br /> Q Z a m <br /> a oQ U + * (7 ,n o o, o Z f <br /> Z <br /> cCL? —m 4 E ~ m m _ _ _In V a ~ U w <br /> RL y 0. E X Q p 'D O Ul O V O O N X O X O a <br /> C E II 11 N (Ij >1 N = m D m 5 rn r 0 n m N cv (.] o/ <br /> [D 10 N Q !-- O d O X N 7 7 X N - `n U f- F- O Q 4 �� I� J <br /> U) Z in rn ❑ c7 m c° 90 0 °0 0 co a w �O o "? v m m °? t-- IL Lab Sample No <br /> IS LAI P61 <br /> A —) 3 -1/5ajCC) (c X 02 <br /> z <br /> T <br /> Rein u ned ig atur Org,�tz�tion Da effim � /C ^Rece1�ted 8y( re Organization Datef inne 3 Iced WN Turn Around Time(Circle One) <br /> 1111 G ' 24 His <br /> 5 Re shed By( n e} Organization Oatiirfie Re/c�eived By(Signature) Organization D teffi ee Iced YIN 48 klrs ' <br /> �v /'r"V X114 �/G'�G ) 5 Oays <br /> R nyuished By(Signature) Organization ate/Time Received For Laboratory By(Signature) Date[Time Iced YIN 10 Days <br /> As Contracted <br />