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: U <br /> No -- .�Custody—Record <br /> Fax copy of Lab Report and COC to Chevron Contact Chain-of �� CIJS�Od R@COC <br /> Chevron Foa ty Number #9757 Chevron Contact (Name) <br /> MR. BOB COEHRAN <br /> Faalniy Address 139 S. CENTER ST. , SFQ ON, C (Phone) 92s-842-96S <br /> Ch*won Produels Co. Consultant Project Number 8884 �� laboratory Name K I F F �I <br /> P.O. BOX 6004 <br /> ceseuttaS - <br /> st NOLaboratory Service Order <br /> San Barton, CA 94583 <br /> 6747 SIERRA CT. SUITE J. DUBLIN, CA <br /> FAX (925)842--8370 Addren Laboratory Service Cods <br /> DEANNA L. HARO NG somples Wected by (Name) � <br /> Project Concoct (Name) <br /> (Phone) 2 — 1- Fax "be,)925-551—7888_ Slgndture ('/` <br /> State Method:[ f9 CA ❑ OR ❑ WA ❑ NWS ries ❑ CO ❑ UT- Remarks <br /> ++ � X <br /> Id X <br /> � p �-- $ <br /> Lob Sample Na. <br /> TB-LB 1 W HCL <br /> MW— � <br /> MVJ• it <br /> J'3 s 1i _o <br /> tv W - V� -- 'i <br /> �� lZSa [ O <br /> RONulehad BY ( nature} Orq*nlzollon o°'e/T�Im} Received By (signature) Organhotron Dats/Tlme Iced Y/N Turn Aro�x�d Time (Ciro. Ct+olce) <br /> �� j ,[ 24 Mrs. <br /> irnquit d By (I gnshms) Organlratton Date/Tlme Received By (519 ature) Organization Date/time iced Y/N 48 Hrsys <br /> 10000 <br /> ReAnquHhed By (Signature) Organization Date/Time 1 Fa 1 (51 eSloote/nme Iced Y/N As Contracted) .. t�O <br /> If <br />