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Yes <br /> Fax cop& Lab Report and COC to Chevron Contact #No Chain-of-CustodR- ecord <br /> Chevron Facility Number 9-4275 Chevron Contact Name) Brett Huute1 <br /> Chevron Products Co Facility Address 2905 W Benjamin Holt Dr, Stockton (Phone) (925) 842-8695 <br /> P 0 BOX 6004 Consultant Project Number OW301 —Z 1 Laboratory Name Sequota <br /> San Ramon, CA 94583 Consultant Name Blaine Tech Services, Inc Laboratory Service Order 9144488 l r I <br /> FAX (925)842-8370 Address 1680 Rogers Ave , San Jose Laboratory Service Code ZZ02790 <br /> Project Contact(Name) ,Scott Boor Samples collected by (Name) r k dLV t` <br /> (Phone) 408-573-0555 (Fax) 408-573-7771 Signature <br /> State Method A CA ❑ OR ❑ WA ❑ NW Serres ❑ O ❑ UT Remarks <br /> 4 � N <br /> LO N <br /> Q C7 O tf] Sn vi U <br /> II IIc d Cn U _ � <br /> N Q0 ? H W Q U C lC9 O � CL <br /> w 4} <br /> ON w 4 t a1 d C Z <br /> 0 E LLJm N a. <br /> Z O —N a }- + _) 9 Z U ~ U W <br /> N 2 f e _ _ _ _ <br /> Q N X 4 X O t7 to Cn O 41 0 O O ` O [ O N U X o X O ? <br /> II 13 E W N W N 2 am rn - rnn h m N ;� W N UJ N S 2 <br /> ) 7 [G 16 F-. O f- O dO XN � O � N K N — c[? q1 � E- O FO a o_ <br /> rn U) a m CO m S i- a° o °0 a �° a w W °? o `:' 2 v m c° m � � � Lab Sample No <br /> l +�►U - ;1 3 ft., 3 1 181's <br /> 138 <br /> r 3 3 toss <br /> S 3 -sit 1'5.51 oy <br /> w[w- 4 3 wo [ w-so <br /> i ww- 3 No 1 (0-30 <br /> r W- 3 V6 '5a <br /> • ossa <br /> T 14 to <br /> �n co TC MKIRITURE <br /> Relinquished By(Signature) Organization DatelTi a Receiv ay(Sign re) Organization Date/Time l ed YIN Turn Around Time(Circle One) <br /> 24 Hrs <br /> 3 <br /> Ke7,ui7tZedfy Signature / Organization DatefTime Received r ure) ' Organization Date/Tile o iced YIN 48 Hrs <br /> Z f J�o 5 Days <br /> t,,t <br /> Reltnquished By(Signature) /� Organization DatefT[me Re eiv d For Laborato By{5lgnature) Da#e/Tlme Iced YIN 10 Days <br /> K—�"�� '(?/,a r%o As Contracted <br />