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❑ Yes . <br /> Fax copy of Crab Report and COC to Chevron Contact ❑ No Chain-of-Cusod -Record <br /> Chevion Facility Number 9-6171 <br /> Chevron Contact Name) Brett Hunter <br /> Chevron Products Co Facility Address 6633 Pacific Ave , Stockton (Phone) (925) 842-8695 <br /> P 0 BOX 6004 Consultant Project Number —k, Laboratory Name Sequoia <br /> San Ramon, CA 94583 Consultant Name Blaine Tech Semites, Inn Laboratory Service Order 9144488 <br /> FAX (925)842-$310 Address 1680 Rogers Ave , San Jose Laboratory Service Code ZZ02790 <br /> i� <br /> Project Contact(Name) Scott Boor Samples collected by (Name) <br /> (Phone) 408-573-0555 (Fax) 408-573-7771 Signature <br /> State Method ❑ CA ❑ OR ❑ WA ❑ NW Series ❑ CO ❑ UT Remarks <br /> U >n <br /> a En <br /> If <br /> c�� c� q, <br /> o <U co (9 a 0 M �r �oz � l9 C <br /> E w + � a m o � Q � a� <br /> � w <br /> _ � to m N +v m °�' —.0 m <br /> a a C Xaftlii a- <br /> 10 <br /> � $ Z O <br /> m <br /> EE° ca M � o uJp � O '�1° E, rn� m � ON 20 Ll1N lx1tN T 2 <br /> cn zsn� va Q m x <br /> t- X N <br /> O � a � a. w m O � 2 0 m ° m � F Lab Sample No <br /> (0 <br /> as X, x <br /> cc <br /> i <br /> a <br /> Re4in� By tSig ure OF <br /> tion Date1]rm�e 4 J R dei ed t3y{S�n jet Organization Datg/Time Iced YIN Turn Around Time(Circle Fner <br /> ` 7 24 1Irs <br /> Relinquistreo',y iSigoa ure) f/ Orgarnzanon Date'Time Received By,(S�? Organization Date/Time Iced YIN <br /> 48 His <br /> Reuriorii`sbed By(S?grja OrgNrza Dare/Ti a received or t_abora r $Dal s <br /> `�o Y Y t5ignaturel DaielT}zie iced Y1N <br />