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Fax copy of Lab Report and COC to Chevron Contact: O S No <br /> Chain�of--Gusted —Record <br /> C wmm FeWt v Number 9 6 2 5 8 Chevron Contact (Nome) MR. BOB C O C H RA N <br /> Facility Address 2409 E. MAIN F ST. , STOCKTON�CA. 925 842— 9655 <br /> Chevron Products Co. 39�+� cplran.) <br /> P.O. 8 6DD4 COVISAW Projod Dumber ,, Laboralary Nome S E QU O I A <br /> Conadtant Name GETTLER—RYAN �TNC_ Labsrolory Service Order <br /> Son Ramon, CA 94583 6747 SIERRA COURT, SUITE J DUBLIN, <br /> FAX (925)842-8370 Addrsts t CA 94568 Laboratory service Code <br /> Project Contest (Name)DEANNA L, HARDING saawles Couoab by e) Mom <br /> (pkw")925--551-7555 (F., Number) 925-551-7899 slgnotwe <br /> State Method: M CA ❑ OR Cl WA ❑ NW Series ❑ ❑ UT IDAHO RonwrMe <br /> I I A I <br /> � �a. <br /> t3n <br /> ++ o ' �th <br /> 3- <br /> � b Sample No <br /> TBLB ,T W HCL 0)C <br /> 5 1 1 4 401510 <br /> r� fV�o <br /> ` [alb <br /> J <br /> V <br /> R7 By (Slynature) Orgarrkatlen 00te/IGns Received By (51gnaturs) orgardsoBon Date/mno ked Y/N Turn Mound Time (Circle Choice) <br /> /K,' /p G—R INC. Co(80 000 <br /> 24 We <br /> ReSnqulehed 4 (Signature) Orgoalsollon Date/lime Received By (Signature) orgonleauon oats/Time Iced V/N 40 We <br /> If S Dors <br /> Re4nquYehad Ey lure) Organl:ollan Dole/Tbne Reel9ved for }obyratary Bymp <br /> ,�re) Is/nme k10 Ouye�ed YIN Ae Conlrtie ,� <br /> , r � l) , <br />