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Yes <br /> rax copy of Lab Report and COC to Chevron Contact ❑ No All �� T{ Chain-of-Custody-Record <br /> Chevron Facility Number 9-8632 Chevron Contact Name) Brett Hunter <br /> Chvron Products Co Facility Address 575 Grandine Rd , Tiacy (Phone) (925) 842-8695 <br /> P 0 BOX 6004 Consultant Project Number 11 ZL( — Laboratory Name Sequoia <br /> San Ramon CA 94583 Consultant Name Blaine Tech Services, Inc Laboratory Service Order 9144488 <br /> FAX (925)842-8370 Address 4 680 Rogers Ave , San .Tose 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 Serres ❑ CO ❑ UT Remarks <br /> m Q w _ <br /> Q CJ p nCL N <br /> Q Um v <br /> 0 uj o m a, ID <br /> aZ <v a <br /> y ,� <br /> U as Q o Y 0 0 - c) ^� w ❑ X /8 <br /> v - m E + �* m fl ro �a = Q <br /> a �N Q Xo X d n oo mo � U xo X r <br /> t= II II E W N W N 2 y.,(O Oi� 21!� (, to N W N W N = Cr <br /> tp M m F-� O O a O X N � O 7 N j� N - Ln Q7 D O F O a a Lab Sample No <br /> W z 2V) W ❑ ass co s- �' oS a4? a � w °v o � � c� mm mm i- P <br /> i <br /> k►W LO <br /> M tv %A) 1�ii t-V, X X <br /> U Re�pqu d (Sig ature) Organization D te[Time Received By(Signature) Organization Date(Time Iced YIN Turn Around Time(Circle One) <br /> IITJI A 1 I ��- S ��t' , II/t v�f� 6C t 24 H rs <br /> Relinquished Ery(Signature) Organization Date/Time ecely n e) Organa ation Dater i Iced YIN 48 Hrs <br /> a 5-e t 1 Zq 1 'r ? 5 Days <br /> a~s ed By(Signature) Organization Datefrime Received For Laborat ry By(Signature) Date/T me Iced YIN 10 Days <br /> As Contracted <br />