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{ <br /> Fax coof Lab Report and COC to Chevron Contact Yes <br /> 0 No Chain-of-Custo -Record <br /> Chevron Facility Number 9-4275 Chevron Contact Name) Brett Hunter <br /> Chevron Products Co Facility Address 2905 W Benjamin Holt Dr, Stockton (Phone) (925) 842-8695 <br /> P O BOX 6004 Consultant Protect Number 1 Z f(0— k-1 Laboratory Name Sequoia <br /> San Ramon, CA 94583 Consultant Name Blaine Tech.Services, htc Laboratory Service order 9144488 <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) A—xTr} e f M A�— <br /> (Phone) 408-573-0555 (Fax) 408-573-7771 Signature <br /> State Method ❑ CA ❑ OR ❑ WA ❑ NW Series ❑ CO ❑ UT Remarks <br /> U (n <br /> ¢ N <br /> i r C 0 <br /> = u ua rn ca <br /> c L <br /> a� ¢U to F- ¢ _ U c M aZ m a <br /> c Zra <br /> E U m * C11 o <br /> NWT V) 0 N <br /> Z o ri m H Fa- m m (13 9 N U 9 LU ❑ � <br /> CL a `� a Xo X . Din and '20 Np rop co 26 X Xo Z ❑ <br /> E E tr E u3 N u1 N 7- Y �,m rn - �r ca N 2 w cv w e4 <br /> @u F- o rL � xN � � aN x � — � my tia r o a IL Lab Sample No <br /> Z cn cn ❑ m °� m W h °° 4 a0 at °D a 0D w Co O '� m °� m aO F >- <br /> IM w- NJu° ine Y c295bb <br /> x hit 1f—Z— 3 Y t 11 f- <br /> �3r3 <br /> ri1 — 3 13 0 Y <br /> f Y►'{uf {P 3 <br /> 10 5" y <br /> 3 yZoZ <br /> 10 3Z, �C <br /> sRelmqurshed v(Si natu� Organization ,D,aat IlTlme R iv B r ) 0 gan¢atton Date/Trme 2- Iced YIN Turn Around Time(Circle One) <br /> rr— �• � L�Et/ 24 Hrs <br /> Relrnqurs ed By(S9reCZ�- Organization Date/Time Received By(Signature) Organization Da e/Trme Iced YIN 48 Hrs <br /> 5 Days <br /> Relin uished By(Signature) Organization DafeiTirhe Received For Laboratory By(Signature) Date 1mg Iced YIN 10 <br />