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Fax' cd* of Lab Report and COC to Chevron Coact• 0 Yew <br /> No Cnai —of—Custod —Record <br /> Chevron Foalt)ty Number 9-1918 <br /> Chevron Contact (Name) BreCC klunCer <br /> FChevron U.S.A. Inc. Fae lty Address 4�_F._ ua,- wav A (Phone) (510) 842-8695 <br /> Consuttant Project Number rf�V Sequoia <br /> BOX 5004 Blaine Tach Services, IncLoborntory Name <br /> Son Ramon, CA 94583 Conauttant Name Laboratory Release Number 2642370 <br /> 985 T.itnothy Dr. , San Jos(-, CA )513.1 <br /> FAX (415Address <br /> )842-959) -- Samples Coltected by (Hama) r tftkhWlif <br /> Project Contact (Name) Jim Keller <br /> Cnlleollon <br /> (PhoneYi.-=—(Fox Number)„IM,2 -3-811-1— Slgnour <br /> Anotyses To Be Performed <br /> 0 NOT BILL <br /> x' t v I z n £ E TOR TB—LI3 <br /> oil 2 <br /> a �i u�3 UUra 4 r� } �a o.. g.. n n { <br /> E A 1 1 a n o 7:0 cN) n HJW b <br /> p pp f qF n ii xw V2 �� P., oN 9� � L <br /> � ) EL a- aImp U Remarks <br /> t� 14Gf� <br /> �A' Rs11n a Sl ature) Ofvonlzatlon Date/Time R d By (Stgnotur Or nlzallon Dato mo <br /> /� Tum Around Time (Circle Choloe) <br /> o ! <br /> 94(if <br /> Off'.�s 24 Hr*. <br /> R•a shed By re) Ora 1 otlon ;Z��!me Recelvod Dy (Signature) Orgonlzatlon Date/time 48 linlP S <br /> Rellnqulahed By (Signature) Orgonlzallon Dots/T1me Recleved For Laboratory � 10 Days <br /> n DY (Signature) ��pa��tema <br /> `�5✓IA- 1 f L-b <br /> As Canlraoted <br />