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Fax copy of Lab Report and C0C to Chevron Contact: ❑ No Chain—of—Custody—Record <br /> Chevron Facility Number 2 3 2 Chevron Contact (Noma) MR. BOB COCHRAN W10 a-609 <br /> Myron Producla Co. <br /> FodityAddress 386�i6 0 LOWER SACRAMENTO RD. ,STOCKTON,.CA (phase? (925) 842- 9655 <br /> P.O. 80X 6004 Consultant Project Number Laboratory NameSEQUOIA <br /> Son Ramon, CA 94583 Consonant Name GET ER—RYAN INC, Laboratory Service Order <br /> FAX (925)842-8370 <br /> Address 6747 SIERRA COURT, SUITE JZ.-DUBLIN, CA 94568 Laboratory Service Code <br /> Project Contact (Noma)DEANNA Samples Collect by (Name) 1 <br /> (pho,ne)925-551-7555 (Fo„ Number) 925-551-7899 Signature <br /> FA ZL <br /> State Method: IM CA ❑ OR ❑ WA ❑ NW Series ❑ CO ❑ UT IDAHO I Remarks <br /> ++ n R a <br /> Lab Sample No <br /> L o <br /> i <br /> ReNnqul 8r (Signature) organization Date/mm Received By (519nature) Organization Oa/l�s/f�e Ice Y N Tum Around Time (Circle Choke) <br /> G-R INC. C; p j , x���rr �y�s� 24 Hrs. <br /> ...., <br /> AS/ - <br /> Re"fulehed By (Signature) Organization Ob /Tlma Received By (Signature) Orgonlzallon Data/Time Iced Y/N 48 Mrs <br /> 5 Days <br /> ` 10 D <br /> R*Rngnlshed By (S1 ) Organization data/nme Reeisva For Laboratory By (Sig r Date/TTma lead f/M 0 As Contracted <br /> 4417eo -/z,,,, 2&/�f I� O <br />