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E <br /> ❑ Yes <br /> Fax copy of Lab Report and COC to Chevron Contact ❑ No Chain-Of-Custody-Record <br /> [an <br /> Chevron Facility Number 9-2033 Chevron Contact Name) Brett Hunter <br /> hevron Products Co Facility Address 508 West Charter St , Stockton (Phone) (925) 842-8695 <br /> 0 BOX 6004 Consultant Protect Number Laboratory Name Se uoia <br /> Ramon, CA 94583 Consultant Name Blame Tech Services, Inc Laboratory Service Order 9144488 <br /> FAX (925)842-8370 Address 1680 Rogers Ave , San Jose Laboratory Service Code ZZ02790 <br /> Protect Contact(Name) Scott Boor Samples collected by(Name) <br /> qqho M-1 (Phone) 408-573-0555 (Fax) 408-573-7771 Signature <br /> State Method ❑ CA ❑ OR ❑ WA ❑ NW Series ❑ CO ❑ UT Remarks <br /> U <br /> N � <br /> @ C <br /> C Q L} A N U <br /> QCl..r) Q U° N ° Z (0 <br /> ° Q7 + i, (7 al Q) LL r- <br /> =3 <br /> U L = O w O Q Q N LEJ Ql Y <br /> a m n m o_ 0 D m a� a� °' � U m 4+ En d <br /> cc <br /> ca <br /> C. ° n C Xo Oui aGio v o a`°io � � co u, o S !�� I I <br /> E <br /> I� If L1J N T(a m n n (L N L f N lL <br /> U7 z N� (M N Q ~ O K N 3 O n N X N — to Q1 '° O O a <br /> t , _ c� m °0 � � o � � °0 aC ua1 o1- �E m °0 m °.0. 14- r Q Lab Sample No <br /> VV &JL 11-70 6 J <br /> 3 a a y <br /> N+U- 3 3 - <br /> b� <br /> Z <br /> 's <br /> s <br /> ' Rr rsh 6y gnat } Org rzation DapptelT f,Zp Reced By(Sre} Organization DatelTime a,40 Iced YIN Turn Around Time(Circle One) <br /> jC Zlbllm 24 Hrs <br /> kR?. <br /> n ed lay(Sr re) Orgamzatron Da lime R ceiv nature) Or dation Date me /-7/I Iced YIN 5 Days C� ( y <br /> ' nq ,,bed By(Signature) organization �D�-gtef7i*me,' ecerved For Laborat By(Signature) Dat !rime Iced YIN to Days <br /> As Contracte <br /> T <br />