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Yes <br /> Fax cop Lab Report and COC to Chevron Contact O'No Chain-of-Custod)Gecord ` <br /> Chevron Facility Number 9-9840 Chevron Contact Name) Brett Hunter <br /> t hevron Products Co Facility Address 4344 Waterloo Rd , Stockton (Phone) (925) 842-8695 <br /> P O BOX 0004 Consultant Project Number ps.-91z Laboratory Name Sequoia <br /> Sari Ramon, CA 94583 Consultant Name Blaine Tech Services, Inc Laboratory Service Order 9144488 <br /> F3X (925)842-8370 Address 1680 Rogers Ave , San Jose Laboratory Service Code ZZ02790 <br /> Project Contact (Name) Scott Boor Samples collected by(Name) 1 l <br /> (Phone) 408-573-0555 (Fax) 408-573-7771 Signature <br /> State Method ElCA ElOR EJWA ❑ NW Series ❑ CO ❑ UT - Remarks <br /> `m Q N <br /> a1 2 U o 2 ui -0 M u <br /> Q U + ( �+ o 0cc 1 21 °I c Z r <br /> E U m w + = o y 0 M Uri o co0 x l fi <br /> LU <br /> Z a m [� F- <br /> a x ° a1 + + ) m `3 u m 4 S O <br /> �� a X a X o u, o,o m oto En_ 0 o co o o: b m 0 ?c o X <br /> G : iii �� m h o CN lib 0. n X>' :N x N MLr1 m -o H0 H0 d 0. <br /> U) Z 2 0 m 0 m m m m r m O e a_ °� 0. °0 tit CO o S 2 0 to °� to °0 P 1-- <br /> 4V <br /> ` Lab Sample No <br /> k.- Z !r "' hV s-T 11Vf- Vital ]�0 <br /> TB <br /> L? Rehnquishe B Ssg ature) Organization Date/Time Re ved B i r ) Or anization Dateffime /°� Iced YIN Turn Around Time(Circle One) <br /> • ""'j^�i 1G it c}l 24 Hrs <br /> Relin ed B (Si a Organization Dateffirne ived y(Sig atu e} O anization at tme Iced YIN 48 Hrs <br /> �' U �� i � • C� 5 Days <br /> Relinquished By(Signature) Organization D6teime Rec ived or a br`atory By(Ssgnature) ate ime Iced YIN 10 Days <br /> o As Contracted <br /> U <br />