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u les + <br /> Fax copy of Lab Report and COC to Chevron Contact : ❑ No Coal '- Of — CUStod — Record <br /> Chavnn Facility Number //37—, /?/ .� Chavron Contact (Nome) y <br /> Facility AddimpeS-�'7�XJ �-.o LJGy ,sac"" a 9,✓ Phone <br /> Chevron U .S.A. Inc, s/.a� , c c .r (Phone) l <br /> consultant Protect Number 3 Laboratory Name ��Si_ �CO!R w cv J <br /> P .O. BOX 5004 Consultant Name �G' Y' ' nn <br /> San Ramon, CA 94583 —��C ' / laboratory Release Number <br /> FAX (415)842-9591 Addrese 3I� Z a LaY ✓t Somplea Collected by (Name) <br /> Pro)oct Contact (Name) . Ir. I2 <br /> ' A/J Collection Dote <br /> (Phon -Z 1- 1306 fFax Humbot ion 31 7 Signature _ <br /> Analyses To Be Performed <br /> E 49yZ i� a y a Q <br /> E rS, s l r3 P 4 <br /> E d < V � a xn <br /> _ E <br /> $ pp � 3 ago s L + a o " Y0 <br /> E a E 1 1 E F '" x $ ,r� m P$ <br /> Remarks <br /> 6i ' ( S0 F-dro — y IGy35n U <br /> x 6 � <br /> U(, o <br /> I-zs S Cs f�•z� -- Y .� � � I� i <br /> L <br /> 1Z !d x <br /> G 13•6o <br /> u Rsilnqule ed (Signature) Onganll�iallon Date/Tims ReaeMbme m M <br /> ed By (Signature) Organization Da <br /> c �— G�ryL/ 0.>1 Z � Turn Time (oral. creole.) <br /> 7 3: U 24 Hn. <br /> VRAKZ'shed By (Signature) Organl:aUon Dale%il Hsd By (Signature) Orgonlzotlon Dab/nme 48 Hn. <br /> 8 Days <br /> ehed By (51 atu ) Organization Date/Time Real ed For Laboratory By (SI natur ) Dgts/nme11�z2lfj ITA ; <br /> 0 Oaye <br /> M Centro <br />