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Fax copy of Lab Report and COC to Chevron Contact: u No LnQI —OT—UUS1UU --1;t!UU <br /> Chevron Foclilty Number 119-6171 Chevron Contact (Name) Mr. Brett Hunter <br /> Facility Add,,. 6633 Pacific Avenue, Stockton, CA _ (Phone) 10842-8695 <br /> Chevron U.S.A. Inc. 5121.80 SEQUOIA Service Cade: ZZ02790 <br /> FSS. BOX 5004 Conwftant Project Number Labonntory Name <br /> Son Ramon, GA 94583 Consultant Name LaboraloryService Ord <br /> er # 90344Q8 <br /> FAX (415)842-9591 <br /> Address 6747 Sierra Ct, Ste ,1 r Dublin 91568 Samples Collected by (Name} ^r Cl5Kl. <br /> - O <br /> Project Contact {tome) Deanna Hardin Colleollon Date z -17 <br /> (Phone) 551-7555 jFox Number) 551-7888 Slgnature <br /> Analyses To Be Performed 4) <br /> DO NOT BILL <br /> Z oy o - TB-LB ANALYSIS <br /> E A0 <br /> 5 a �� 1 1 1 0. , m o n <br /> Z E- a v�0 } �� r. .2, <br /> -CL <br /> �R s <br /> a <br /> eR .9 z tn3c r F —` z m $ a 2— <br /> to Z3 :. Remorlu <br /> 2 G zz <br /> taw a k <br /> W� <br /> w� co x <br /> Rdlnqulshed By (signature) Organization Date me R ed By (Signature) t}rganlzotlon Data me Tum Around Time (Cirols Chola*) <br /> G-R Inc "� z G-R Inc• 24 Hrs <br /> Rs uI ied By (Slgnat r) Organization Dotr m 9'3C" Reoetved By (signs Organization' Dat /T1me q I 48 Hre <br /> Rrlln ed sy gRatuns) Organisation Dat /Time Reolsved or Laboratory By (Sl nature}— ' Datr/Ttme/�)A Snt.d <br />