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�. 0❑ Yes <br /> Fax copy of Lab Report and COC to Chevron Contact: ❑ No Chain-of-Custo y-Record <br /> I <br /> Chevron Facility Number 9-0557 Chevron Contact Name) Brett Hunter <br /> Chevron F'rrd ucts Co. Facility Address 139 S. CenterSt., Stockton (Phone) (925) 842-8695 <br /> P.O. BOX 6064 Consultant Project Number Q�—C laboratory Name Sequoia <br /> San Ramon, CA 94583 Consultant Name Blaine Tech Services, Inc. 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) <br /> (Phone) 408-573-0555 (Fax) 408-573-7771 Signature <br /> State Method: ❑ CA ❑ OR ❑ WA ❑ NW Series ❑ CO ❑ UT Remarks <br /> n V <br /> U N G mo Z QV u� u01i a c Z <br /> 4 x <br /> 7LU 0 <br /> Cd 4iL d) , m N �1 N i C.7 <br /> — m IL <br /> + e <br /> CL `�� a X o X o d +n �o a`"i o^ a ro o c o^ U X o x o <br /> 61 w N ll.I N z r aft 0Ir P1 - .� h N N w N w N T _ <br /> F mu '� r0 n. 0 x � � � � N xm _ W - f-- � r � a a Lab Sample No. <br /> N Z iiw cn ❑ m m .� i- 4 a v n. w O U m m r k <br /> . , 030 <br /> z- W�3 +T) 11 -11 <br /> . s 1135 <br /> W4 10% <br /> �,'tj�2-7 <br /> w j hed y( gn e or aniz tion Datellime �, Re ve y gn ure) Organization DatefTime ./;o Iced YIN Turn Around Time(Circle One) <br /> .�--- ✓c vC�IT ?� � 24 Mrs. <br /> A's B path Organization DatefTime R ceiv ature) Organization D te1Ti a Iced YIN 4&Hrs. <br /> she <br /> - ,-. r r 14M 5 Days <br /> �--- <br /> 1 <br /> gyred 3y(Signature) Org i anon D to ime Receiv F Laborat y(Signature) Date irr} Iced YIN s ontracted <br /> r I M N T rz `1`l oUO r v <br />