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• ❑ Yes <br /> Fax co of Lab Report and COC to Chevron Con act• ❑ No Chain�'Of -CUSfiO ''Record <br /> Chevron FacTllly Humber 9-191$ Brett Huncer <br /> Chevron Contact (Mame) <br /> Foolllty Addrese 4S V.- Hardi, �,r (510) 842-8695 <br /> Chevron U.S.A. Inc. �� (Phone} <br /> Consultant Project Humber Sequoia <br /> I .O. BOX 50Q¢ Laboratory Name <br /> Home Blaine Tech Services, Inc. <br /> Consultant Ho <br /> San Ramon, CA 94583 185 Tilnr,cliy Dr, , San .IOSC , CA 95Is3 Laboratory Release Number 2642370 <br /> FAX (415)842-9591 Address Snmplas Collected b ( me).;�{S' ,�yr <br /> Proloet Contact (Memo) Jim Keller Colleotlon Data . <br /> (PhoneACIS 9)5--5535_(Fax Number)__1j0B_2.9_3_$773 ,_,_, Signature <br /> ` Anolysee To Be Performed <br /> _ z-5 " " G DO NOT BILL <br /> ABY o E <br /> x c c� ca a s ' 8 9 E, FOR TB—LB <br /> z' n $ b I I I $ ' g r o o, , <br /> o e 7 <br /> IR3 n r +o q q GN ao �4 n q a o <br /> a 0 <br /> ,R 9 x' sn� ►�` N 3S o " w o 'm a P'W 4,co n, <br /> `I „� 4 Remarks <br /> — <br /> w"� 1q0_ <br /> �1 �1 C <br /> 10 <br /> V <br /> w- tA/ Ago <br /> --� <br /> l3�id~ UV ;toy <br /> ATw-rp t0 lo�� <br /> y <br /> (Al 8ia <br /> •r c'� aAl A 310 - �-- <br /> w R BY Organlzatlon Dote/llme od Cy (Slgno Or anlzallan Date/Tlme Turn Mound Time (Circle Choice) <br /> l�Qro O`� �{al �� t,ta"t l���� �'r1 <br /> 24 We <br /> Rel hed By (SI ur 0 IzaUon Dott /limo Received Dy (Stgnatu Organization Date/Time 4a tin <br /> Rellnqulehed By (Sign un) Organization Dote/'Tlme Realeved For Laborato B Sl 70 Days <br /> rY Y � g nature) Date/'TTmo As Contracted <br />