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ui+�ifYtugi • <br /> CHEVRON CORPORATION CHAIN-OF-CUSTODY RECORD <br /> ENGINEERING TECHNOLOGY DEPT. SAMPLE ANALYSIS RE 3gUEST <br /> 576 Standard Avenue <br /> Richmond, CA 94802 AUTHORIZATION No. 89--1 <br /> WORK ORDER No. 9459402 <br /> TRACY MITIGATION PHASE 1 <br /> Return form with analysis to Project Engineer <br /> Contact: Project Engineer (4 15) 620-2072 <br /> Sample Collector's Name: <br /> Analysis Requested CAL LAB GROUP CODE: <br /> Volatile Organics (see attached list) SW846/8020 <br /> Semivolatile Organics (see attached list) SW846/8270 <br /> Special Handling/Storage: Cool to 4 C <br /> Chevron's Date/Time <br /> Sample No. Sampled _ Sample Information <br /> Destination: California Analytical Laboratories, 2544 Industrial <br /> Blvd. , West Sacramento CA 95691 <br /> Chain of Possession: <br /> 1 . <br /> Signature Title Inclusive Dates <br /> 2 . <br /> Signature Title Inclusive Dates <br /> 3 . <br /> Signature Title Inclusive Dates <br /> 4 . <br /> Signature Title Inclusive Dates <br /> 3/27/89 <br />