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0 • ❑ Yes 0 <br /> Fax copy of Lab Report and COC to Chevron Contact ❑ No Chain-of-Custody-Record <br /> Chevron Facility Number 9-6258 Chevron Contact Name) Btett Hunter ' <br /> Chevron Products Co Facility Address 2409 Gast Maui d,) F St , Stockton (Phone) (925) 842-8695 <br /> P o BOX 6004 Consultant Project Number wo O) ui Laboratory Name Se Uota <br /> San Ramon, CA 94583 Consultant Name Blamq Tech Services, lltc Laboratory Service Order 9144488 <br /> FAX (925)842-8370 Address 1680 Ro ets Ave , San Jose Laboratory Service Code ZZ02790 <br /> Project Contact (Name) Scott Boor Samples collected by (Name) L47W <br /> (Phone) 408-573-0555 (Fax) 408-573-7771 Signature <br /> ro State Method ❑ CA ❑ OR ❑ WA ❑ NW Serle ❑ CO ❑ UT Remarks <br /> 0 <br /> �_ C C {x <br /> C Q U O V' <br /> L6 II 11 16 N C C 4. 4] <br /> N Q U f9 O Z U <br /> Z o a3 0. v H " N ❑ Q Co 0 W <br /> Q) — M N E + + N f6 D C7 rl. r- U <br /> O C m c6 � T- <br /> E <br /> ❑ <br /> f0 7 t4 N I7 E Lit N tp a' m i Q N C1 N O <br /> rn Z rn (n O (¢7 m t° a m O a °? a m w C0 O `n 5 U m °0 m a0 d Lab Sample No <br /> mW-Z- <br /> v 7 <br /> mw- 1131 x <br /> <11 <br /> f,g 2 <br /> x <br /> u <br /> x <br /> Re:inqu a (Si it Organization Date/Time, <br /> �/ Z Re Ive lay ) O;ganlzahon Date/Time Iced YIN Turn Around Time(Circle One) <br /> 24 Hrs <br /> o n By(Sig r Organization Date/Time Received By(Signature) Or anization D telFr e J Iced YIN 48 Hrs <br /> /`( 1 (� 5 Days <br /> " Re(inq )shed By(Slgnakif*-— Organization Yalefilime Received For Laboratory By(Signature) Date[Time Iced YIN tg Days <br /> As Contracted <br />