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�vr-y TUU INU ill L una uuu to unevron Con act• ❑ No ChQ! -Of`~CuSf —Record <br /> Chevron Facility Number20,342 Chevron Contact (Name) BreLL )IunLer <br /> Chevron U.S.A. Inc. Facility Address..._ 1347 S. El Dorado St Stockton CA (Phone) (510) 842—$695 <br /> Consultant Project Number S0-1—� GTEL <br /> P.O. BOX 5004 Laboratory Name <br /> Consultant Name Blaine Tech Services, Inc. <br /> San Ramon CA 94583 9$5 Timothy Dr. � Stn ,los(', CA 95133 Laboratory Relsaso Number <br /> FAX (415)842--9592 Address Snmpiae Collected by (Name)_.. <br /> Project Contact (Name) Jim Keller <br /> Calleoflon Data <br /> (phoney)ff1 95- 35 (FaK Number)100— 93n8l-73_,.,_, Slgnatur+ <br /> a <br /> Analyses To De Performed <br /> Zt <br /> 0. o DO NOT BILL <br />•r i " z 8 FOR TB—LB <br /> o o (^{ <br /> n v4 p <br /> EO; pVC e L *CM Qu'�1 ti� n - Y0 tin ti a ✓ <br /> 9 z v, r Ir' 3i Go f`- o h� Rte: t�°� ��� �� <br /> Y }r.� +� e's _ <br /> a �" Remarks <br /> V3 <br /> ................. <br /> a Relinquished By ( Ignoture) Organization Dato/lTime, Reaelved By (Slgnotura) Organization pate me <br /> o /'N ! ( r Turn Around Time (Circle Choloe) <br /> 24 Hre. <br /> Rsl[n ulehsd By (Signature) Orgon[:allo ` Do 0/n a/ Received By (Signature) Qrganlzaflon 48 Hn. <br /> Relinquished By (Slgnatun) Organlzallon Dolo/nme ItralOvr For Laboratory Dy Signature) Dals a M t0 Days <br /> � Contracted <br /> � s- <br /> - <br />