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Lab Report and COC to Chevron Co t ❑ No Cha --of--CUSS Reco <br /> rc <br /> Chevron F'aclIty Number 9-2033 Chevron Contact (Nome) Brett Hunter <br /> Chevron U.S.A. Inc, Foolllty Address 508 West Charter Way, Stockton, CA (Phone) (510) 842-8695 <br /> P.O. BOX 5004 Consultant Project Number Laboratory Name Sequoia = <br /> Consultant Name Blaine Tech Services, Inc <br /> San Ramon, CA 94583 Laboratory Release Number 900$991 <br /> FAX (495)842-9591 Mdrese 1680 Rogers Ave , San Jose, CA 95112 s <br /> Ssmplaa Collected by Name} Q <br /> Project Contact (Name) Fran Thie Colloollon Date ff/I 1 u <br /> (Phone)408-'573-0555 (Fax Numbor)408-573--7771 Signature <br /> Analyses To Be Porformed DO NOT BILI. <br /> z " " o f) FOR TB-LB <br /> t 1 E ! ° n_ g 7 O _a <br /> x r_ a l)UO S Fj �.-. <br /> or �no <br /> E a a [ E 6E c 002 -� L"� co n'V a" �i� i3"� � :� Remarks <br /> -I 0 <br /> 12, <br /> rA1W-2V 0,-:� <br /> mw-� 01 3 <br /> Ral quls Signature) Organ zatlon Date/`Ilme Ro vsd Dy (S stun) Orgonl:allon Doloo//Tlgme�d Turn Around Time (Circle Chotoe) <br /> 24 <br /> d DY (S • Organlzatlon Dale/mrReceived By (Signature) Organization Data me 48 Hre 5 a <br /> 10 Days <br /> V►hsd By (Slgnalun) Organizatlon Time flecleved I or Laboratory Oy (y hpalura) Date/'Ilmo Ae Contrasted r <br /> )Z�3 <br />