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❑ Yes <br /> Fax copy of Lab Report and COC to Chevron Contact ❑ No Chain—of—Cuslod —Record <br /> ~ Chevron Facility S221-5 Brett Hunter <br /> i tY Number Chevron Contact (Home) <br /> Chevron USA. Inc. <br /> Fadgly Addreee 5431 West Crantline Rd,, Ban (Phone)ta CA (510) 842-8695 <br /> a <br /> P o Sox 5004 Consultant PraJed Number. -/-SGSZ45;"' k I _.__ .,..,, Laboratory Name Sequoia ` <br /> San Ramon, CA 94583 Consultant Name 111Afnn TarhLprviCeSTIuc!- Loboratory Releoae Number 17143.9.a0�� <br /> hddreee 985 Timothy Dr., San loge, CA 95113 Sam tea C od*d b Name Lr r i ' `�V-/-/FAX (415)842--4591 t Jim Keller " y ( S z-d_• <br /> Project Contact (Name) Colleoklon Date <br /> (phone)(408) 995-553Fhae Number)(408) 293-8773 Signature <br /> Analyeee To Be Performed NOTE <br /> zf 8 Ao pT BILL <br /> 'Y8—LS SAMPLES <br /> 1 �# IfUQ s4 }+ ao vo ao^ �o a.. <br /> ga af e E b o xc6o" <br /> em <br /> Ji 3 x a3 r E �° fLd" a" d' c�a Remarks <br /> rf w paw tae t <br /> Z 3 0-Is <br /> 3 els <br /> r� to 2- L <br /> qS 0 PC <br /> Rett ( Organization ODI-,n,, <br /> �,, Received Dy lgnakwe Organization Date/TIM7 ��1 Turn Around Time (Ctrats Cholas) <br /> O �� (/O/� S f/ (f J/ 24 fh. <br /> 'nqule (Sign ) Orgontmtlon pals • Received by (Signature) Organization Date/tlms 48 Hm <br /> Do" <br /> 1 D Doye <br /> shed By (5lgnatun) OrganizationDate/T1me Reolew For Laboratory By (Signature) Dah/ilme'�/� AeContraoked <br />