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yes <br /> No° Chain - of- Custody= Record <br /> ❑ No <br /> Chevron Facility r : 211270 Global ICV : T0611300083 Cambria Contact (Name) Ragnor Stephson or Gabriel Stivala <br /> Facility Address: 712 G STREET DAVIS CA (Phone) <br /> irect Bill ; Consultant Project r : 386932 Laboratory Name : PRIMA ENVIRONMENTAL <br /> ambria Environmental Consultant Name: Cambria Environmental Techolo g y Inc. Laboratory Service Order: <br /> ichnology Inc. Address: 2000 Opportunity Drive , Roseville , CA 95678 Laboratory Service Code : <br /> Project contact: (name) Gabriel Stiva )a Samples Collected by : (r+arno HAIG KEVORK <br /> (Phone) 916-677-3407x101 (Fax) 916-677-3687 Signature: <br /> State Method : CA ❑ OR ❑ WA ❑ NW Series ❑ cc ❑ ur DID Remarks <br /> q p v v <br /> E U t <br /> E In (n n <br /> E <br /> E t n 3 E v C X o .+ <br /> m E $ 3 m m 2U <br /> 13 Lab Sample No. <br /> >PE -aJ w 11 cd1�3 <br /> 3 <br /> n ishe Si n re Organri�zation Date/Time Received By (Signature) Organization Date/Time Iced Y N ) <br /> G „ r� IK� f� Turn Around Time (Circle Choice) <br /> go <br /> _llnquished Byo (Signature) Organization Date/Time Received By ( Signature) Organization Date/Time Iced (Y/N ) <br /> 24 Hrs. <br /> 48 Hrs. <br /> ainquished By (Signature) Organization Date/Time RecPjve{I For Laboratory.By (Signature) Dafte/Time Iced (Y/ N ) 5 Days <br /> 11120/ AS Contracts <br /> I - J <br />