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Fax copy of Lab Report and COC to Chevron Contact: -1�1 No Chain- of—Cusfod —Record <br /> 9-0260 Phil Briggs <br /> Chevron Fooliky Number —• Chevron Contact (Hams) <br /> 21995 Foothill B1vd. , Ha ward A q 510-842-9136 <br /> Chevron U.S.A. Inc. RC0107 . 006 <br /> Foo(llty Address yv_ (Phone) Sequoia <br /> P.O. <br /> .0. BOX 5004 <br /> ConeuHant Project Number Laboratory Name 2172600 <br /> Geraghty & Miller, Inc. <br /> San Ramon, CA 945V Consultant Name— — Laboratory R•I►o►e Number <br /> FAX (415942-9591 — <br /> Address 1 050 Marina Way So. , Richmond, CA Somples Collected by (Name)Project Contact (Homs) Teresa Payne Collsotlon Dat• <br /> 2 3 3-3 2 0 0 (Fox Number) 233-3204 signature <br /> Molyeee To Be Performed NOTE: <br /> 4 Do No-" <br /> 13111 <br /> <v o <br /> vvO +* " o so YN g �' Its N C` `SQr~'pIes <br /> 2 <br /> $ Remorks <br /> n .1 �( x <br /> X <br /> /' N _ <br /> C►VC <br /> u <br /> RelinqutshW By (Signature) Orgonlzatlon Dats/nms ReosNed By (Signature) Orgonl:atlon Dote/Tlme Turn Mound Time (Circle Choloe) <br /> 3 14 Hro. <br /> eRslingvkhed By (Signature) OrgonlzaUon Dote/llms Received By (Signature) Orgonliollon Dote/Time 48 Hro. <br /> 6 Days <br /> til io Days <br /> II Rellnqulehsd By (Sianature) Organization Date/Time Rwlwed For Laboratory By (Signature) Dote/Tlme MGontroal- <br />