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Fax copy of Lab Report and COC to Chevron Contact ❑ No Chain—of—Custody—Record <br /> Chevron FoeAR4-6465 y Number— � Chevron Contact (Nome) 13reur Hunter <br /> Chevron USA Inc <br /> Foollity Address —5608 N Pershing Ave , CDC ton, (ph one) (510) 842-8695 <br /> P O BOX 5004 Coneullant Project Number T('r7y�o N- e-�_ Laboratory Noma Sequoin <br /> ConsuRant Narne Blainc Zech Servixns, Inc Eoboratary Release Number 9250390 <br /> San Ramon, CA 94583 985 Pimothy Dr , San lost-, CA 95133 <br /> FAX (415)842-9591 Address -- Samples repotted by (Name) _ <br /> Project Contact (Name) Jim Keller C°lleotlan Date -5 F �S <br /> (Phaney'i48�9�' 5_—(Far Numhar) 4$,,...7.r1 -37]3 Slgnalur+ 4 r� <br /> i <br /> Matysee To Be Performed <br /> DO NOT BILL <br /> iu ��� <br /> � � <br /> FOR TB-LB <br /> u <br /> z n $ e l 1 a. <br /> �# cello n E + t o� cn M �J� yo <br /> E a a 1 1 r E c a x m ° 'm PV P'r �aer e, o h 1 O <br /> IL Remarks <br /> a <br /> u yy//Rallnqul�ed' (Slq aSu ) orgonlilzatlon Daie �n�a Reae `d By (Slgnoiure) orgo,I`rotlon D e me/r7 ` tum Hound Time (Chale Chob*) <br /> 24 Nn <br /> RlllnQulahed Dy (5lgnalun) OrgoMtollon Dnte/llm//e Recslvsd BY (Signolure) organization of/'11ms 48 Hra <br /> - 10 Dvye <br /> ROnquiehed By (Signature) organlzatlon Bo e/11me Recleved For Eaborakory Slgnatun} Dat%lima Ae Coniraoted <br />