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U les <br /> I <br /> Fax cop Lab Report and COC to Chevron Conte ❑ No Cha --of--CuSfod Record <br /> Chevron Faculty Number 9-1848 Chevron Contact (Home) Brett Hunter <br /> osenliLe WeSt, Manteca (Phone) 5.10 842--8658 <br /> Chevron U.S.A. Inc. Faol!]ty Address / <br /> P.0 BOX 5004 G}.S�ZoI � �� -Consultant Project Number - - Laboratory Nam* `I - f F L <br /> BLAINE TECH SERVICES� INC Laboratory Release Number 36 73 2 7 R 0 <br /> Son Ramon, CA 94583 Consultant Nome. ._. ._....—�. <br /> Addreee_985 T1m0L1ly Dr , _Soil .JOSE Samples Collected b Namo y�4"z "�"�" 7 — �='7 <br /> FAX (415)842-9591 y ( ) _ <br /> Project Contoct (Name) Jim Keller Collectlon Dols <br /> (Phone) (408) 995-55?3x Num6er)(408) 293-8773 Signature <br /> Analyses To Be Performed <br /> E -S - 0 <br /> s r 0 <br /> C <br /> 3 e ♦v b P L <br /> 'COD� � <br /> :1a 1t 1 1 °o a C X e O o N <br /> n (9Uo a +� or cN as YN on �� A o <br /> o� <br /> E a E 11 � <br /> E E o o x CCoo ° $ av �V • l3 <br /> �i .-9 z 1A r t F rR .a°. �=`� o a, a Wv s� Remark# <br /> eY r 3 w -71so Y <br /> C-Z O� 3 VU M'3c - -_ <br /> C,- 3 03 3 V-1 Rom <br /> —sem 6 t Z ' <br /> Q <br /> I <br /> a Rellnqulehed By (Slgnaturr) Orgonizotlon Date/Time !lr`(y Reoeh+ed By (Signature) Organization Date/Time 1.1'.V Tum Around Time (Circle Choloe) <br /> VoiL -grs ra- 4-9S LJ �j T1—: (2-y-�tS "C 24 tire <br /> Retinquls By gnature) Or anlzatlon Date/71meReceNed By (Signature) Orgonlzotlon Date/Tlme 4$ Hrs. <br /> n V" -- v�e,.k �=-4- 5 Days <br /> I <br /> x 10 Days <br /> O1 Relinquished By (Signature) Organization Date/Tlms Realeved or Laboratory By (Signature) Date/Time M Contraotad <br />