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•, <br /> ❑ Yes <br /> s Fox copy of t_ab Report and COC to Chevron Contact, ❑ 110 Chq --0 '—C 5 odd 6COl <br /> Chevron Faclilly Number 9-2033 Chevron Contac[ ( )BRETT HUNTER <br /> Name <br /> Faclllly AddreeeCharter Wy, Stockton (Phone)(925) 842-8695 <br /> Chavron Products Co. +�1 <br /> P.O. BOX 6�d4 Consultant PraJecl Number © i — Laboratory Name— SEQUOIA <br /> Pan Ramon, CA 94583 Caneultanl Nam,. BLAINE TECH SERVICES, INC.-- Laboratory Service Order <br /> FAX (925)842-8370 <br /> Addreee 1680 ROGERS AVE , SAN JOSE Labor lory Sery C d 02 0 <br /> Project Contacl (Hama} CHRISTINE LILLIE Samples Callecled y lame)) V �� <br /> 408--573-0555 408--573--7771 <br /> (Phone) (FoK Number) I Signature <br /> State Method. ❑ CA ❑ 0R ❑ WA ❑ NW Series ❑ CO ❑ RernarMe <br /> -- e <br /> V <br /> r _ u_ x ul <br /> * �N w +� �n tip qu <br /> s � o �'-' l � <br /> Lab Sample No <br /> Wr � �Z tl�q' z <br /> '� 02 <br /> Flellnquieh B ( gnalure) Organization Dale/Tlmal 1 Ra slued By (SI atura) Organizallon Dole/Tltrye�y fJ� Iced Y/N Turn Around Time (Circle Choice) <br /> 'r <br /> % 24 firs l�.-1 <br /> elfin uhh (Sig re) Organlzalfon D <br /> ole/Time Received By (Signature) prganl:ollon Dale/Time Iced YIN 48Days <br /> iO Day; <br /> S Hell quhhed By {Signature) Organization Dale/Time Raclevad For jaharalory By (Signature) Dala/Time 13444106,1151 Ae Canlraeled <br />