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U Yes <br /> Fax Spy of Lab Report and COC to Chevron Ontact. ❑ No Chain-0i <br /> --'CUlbd — eco! <br /> Chevron Facility !lumbar 9-0557 Chevron Contact (110me)BRETT HUNTER R <br /> Facility Address 139 501itti Center St. , Stockton (Phone) 842-8695 <br /> Chevron Producla CO. 4 _ <br /> .�0�„\-1� <br /> P.O, BOX 61704 Consultant Project Humber �L\ laboratory SEQUOIA <br /> San Ramon, CA 94583 Conjullanl Flame BLAINE TECH SERVICES, INC. Ham■ <br /> 1680 ROGERS AVE. , SAN JOSE Laboratory Servlca Order ,�$& _ _ <br /> FAX (925)842--8370 Address Iaboralory 5arvlce Coda 2202800 <br /> Project Contact (Name) CHRISTINE LILLIE Somplae Collected by (Hama) <br /> (Phone) 408--573-0555 (Fax Humbor) 408-573--7771 Signature `' --y__ _•, <br /> ` State Method: ❑ CA ❑ OR ❑ WA ❑ NW Series ❑ CO ❑ UT Remarks <br /> s! <br /> Q t + <br /> Lab Sample Ito <br /> — A <br /> �.�1 3 �x <br /> Z� <br /> u <br /> T <br /> m Relinquished By (Signature) I Organization Dole/Tlms Received By (SI lura) Orgonlzallon Date/Tima lead Y/l1 Turn Around Tlma (Circle Choice) <br /> // elUQ/11V 24 tire. <br /> Reil uWad 13y alure) Orgonlrallon Aato/Tlmo Racelved By (Slgnalura) Or anlrallan Aaie/Tlmo Iced Y/l1 48 lire. <br /> ✓li / y� 3 Days til �1 5 I� <br /> 10 Days `F <br /> u Rellaquished By (Slgnalura) Organlzallon Dale/Tl a Ree ed For jaboralory By (Slgnalura) K-7 <br /> e/Time Iced Y/rl As Conlroclad <br /> -- --- (7 Y3 <br />