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r • El Yes - <br /> Fox c v of Lab Re ort and COC to Chevron Cot c <br /> p q �• EI ,No Chain—of—Cus <br /> Lod --Reoo, <br /> Chevron facility dumber 9--2033 Chevron Contact (llama)BRETT HUNTER <br /> Chevron Pf0dltCJS COFacility Address anter W Stockton (Phone)(925) 842-6695 <br /> , <br /> P.O. SOX 6009 Consultant Projacl llumhar Laboratory llama -SEQUOIA <br /> ( Consultant llama BLAINE TECH SERVICES INC. LaboratoryService Order <br /> -9144488 <br /> San Ramon, CA 94583 1680 ROGERS AVE. ,, SAN JOSE <br /> FAX 925)842-8370 Addraes —— — Laboratory Service Coda 02800 <br /> l Project Contact (llama) CHRISTINE LILLIE Samples Collected by Ilam ) ►��— AEj <br /> (phone) 408-573--0555 (Fax Number) 408-573-7771 Slgnatura <br /> State Method: ❑ CA ❑ OR ❑ WA ❑ NW Serles ❑ CO ❑ UT Remarks <br /> 35 � 2ru <br /> fl tz <br /> x��ff �pr)l * <br /> ap I <br /> Lob Sample Ila <br /> �w l 14j 119 't 'i k x x rJr <br /> w2/ 3 �L <br /> a3 <br /> X <br /> N <br /> Relinquished By Sig slurs) prganl— �a��I I //llon Dole me Received By (Slgnatura) OrgonExollan Di�,� Iced Y/N Turn Around Time (Circle Choice) <br /> ly <br /> i `'" s 1 l7 7GES�A 24 I lre <br /> Rallnqulehad By (Signature) Organlzallon nota/TI Maj Received 6 (Slgnatura) Organization Cala/time Iced Y/N 4B lira <br /> (T ��/ 5 Days <br /> a10 Days <br /> liallnqulshed By (Slgnatura) Organization I Aole/Tlme Racleved For ahorolory By (Signature) tate/lima Ica Y —As Contracted �c <br />