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Fax co f Lab Report and COC to Chevron Corot. ❑ No Chat —Of--CuS�O Reedrd <br /> Chevron Fodllly Number- 9-0342 Chevron Contact (Name) B r C.'L L II un L e C <br /> 1"aollRy Addr .__ee. 1347 S. El Dorado _St , St (Phan•ockton, CA ) (510) 842-8695 <br /> FC�hevron .5.A. enc. Consultant project Number tl - �� GTLL <br /> 5004 Laboratory Name <br /> Consultant Name Blaine Tech Servicc5, Inc. <br /> Son Ramon, CA 94583 415842-9591 a Loborotorl R.I.a•• Humber <br /> FAX Address J85 Ti11tU[hy 1)r, , San ,Iotic�, CA 9�1s3 �.. Colleted by (Na <br /> p me) tERZr P- E& <br /> -e .] <br /> Protect Contact (Name) Jim Keller semCollection ale 11`114- 5 <br /> (PhoneYlOIL-9-(I-5-5535_-(Fax Number)4108_213-87].3 . Sl,natur. —" <br /> I <br /> Analyses To De Performed <br /> • <br /> 93 DO HOT BILL <br /> n e C <br /> E <br /> 8 Ez o o. FOR TB—LB a 16d L a h Y� g X e o o <br /> a V cS� uUdZ- +o �:"- CN4�. 0 ✓ <br /> E p I' ry �;o o r <br /> . ° ' <br /> 13 -0 Qo �Ve� <br /> Q,.o 4 v v �1 U <br /> Remarks <br /> 1715 W0- y x <br /> Nlw-� ltd 3 W Zy0 11 Y X <br /> Ts <br /> y, <br /> i <br /> � J <br /> I <br /> u Relinquished By (Signature) Organl:allon Da Ze R Med SI naluro Ora 515 559 5 5 8 3 <br /> Z �D By ( g } Q nlzollonr Dato/finnoQ � Turn Around 7 <br /> U <br /> Relinquished By (Slgnatun) Orgonliatlon Dote/llme1 Rece vod By (Slgnoturo) Organization Dote/'llme 48 We. <br /> 1WE <br /> ld Doys <br /> Rdlnqu ehsd 9y (Signature) OrQoMmtlon DolsrElme R•olevd For olory By (slpnuture) I1ats/llrpq,� /le Controatod <br /> � Oil <br /> -/�QS <br />