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Fax copy of Lab Report and COC to Chevron Contact: ❑..r No Chain—of—C1StOd —ReCOrd <br /> Chmm Faciffy Numbs N9•-6258 Chftym Contod (Name) MR. BOB COCHRAN <br /> FoMy Addr.o6 2409 E. MAIN Q F ST. , STOCKTON CA. (pt, <br /> n.) 925 842- 9655 <br /> FChsyron Produclo Co. 3 SEQUOIA <br /> t:atottltant Projet:t Number (.oberatay Nam. � �U-2 2-2-5� <br /> P.O. BOX 6004 <br /> tonnt <br /> Son Ramon. CA $ 583 tltoM horrw — taboralory >t«vioe Order <br /> 6747 SIERRA COURT, SUITE J, DUBLIN, CA M8 Laboratory Seo �e <br /> FAX (925)842-8370 'A*"' - - <br /> Project Contoat (Nom.)DEANNA L. HARD NG Sompleo Coll r by (140me) <br /> ( 0925-551-7555 rFou mea) 925-551-1899 <br /> State Method: 0 CA ❑ OR ❑ WA ❑ NW Series ❑ CO ❑ UT IDAHO R.morbe <br /> I+ <br /> _ a <br /> ++ � $ 1 x o <br /> I`co Lab Sompl. ltd. <br /> SBLB 1 W HGL <br /> Ile <br /> ReS ohod By Organkation ReceiGt/e ignature) g � ke Turn Mowwl ikw (Orde Owke)Sgw7) G—R INC. 10o <br /> 24 Hre. <br /> RiinwApd By (S rwtur.) Organisation Dote/T5x — <br /> Anee wd Oy (5%noture) orgad:aUan Dat.,%k * lend YIN 48 we <br /> ; OMS O10 <br /> neon Shed By are) Orgonizatlon Dote/nme Reelered For Lqborotory By lure) Oatn/Time ked Y N <br /> "trac <br />