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Fax copy IV Lab Report and COC to Chevron Contoo ❑ No Cham—of—Cusfody3&cord <br /> Chevron Facsity NumbsY�9-8264 Chevron Contact (Nome) MR. BOB COCHRAN <br /> Foalyr Add <br /> nee3775 TRACY BLVD. , TRACY, CA 925 842— 9655 ` <br /> Chevron Products Co. 386854 tPkan.) <br /> P.O. Box 6004 Consultant Project NumberLaba.a,ary Nam. SEQUOIA <br /> wwal 75 <br /> Son Ramon, CA 94583 consultant nam. Laboratory Serdce Order <br /> 6747 SIERRA COURT SUITE J DUBLIN CA 94568 <br /> FAX (925$42—$570 Address � laboratory service Cad. <br /> Project Contact (Nome)DEANNA L. HARDING Samples Celle sd by (Name) '�'✓ <br /> {Phone)925-551-7555 rFOX Numbs) 925-551-7899 Signature t- } <br /> State Method' M CA ❑ OR ❑ WA ❑ NW Series ❑ CO ❑ UT IDAHO Remarks <br /> e =$ In $ <br /> U} 13 <br /> S 0 ` <br /> In <br /> v Lob Sample No <br /> 1 11 n .q-Uo e baa <br /> Di ssclurd <br /> �'1lr 10 1Nyl (S ctc <br /> g' -D Nor Fr c l8 <br /> fi✓ a ©� reC{ <br /> i <br /> i <br /> I <br /> R7,111qAe-7 <br /> shed Sy (Signature) Organlzothn Dote/Time Received By (s nature Orgonlzotion Date a ice N Turn Around Time (Girth Choke) <br /> G--R INC. /7 —cZ , <br /> Sef <br /> 14Y-1rV10 24 Nr*. <br /> Rellaqulehed ey (Signature) Organization Oat /Tlme Received By (Signature) Organization Dole/nme Iced Y/N 49 We. <br /> r !4; 5e,& "�6 r6/fl 3 Days <br /> to 0 <br /> Rtllquiehed Sy (Signature) Organization Date/Iime Recleved For Labarotory By (5lgnoturs) Dote me iced Y/N As Contracted <br /> /1 I <br />