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Ll r e s <br /> Fax wy of Lab Report and COC to Chevron loch ❑ No C ai —0 --Cu d -- CO <br /> Chevron Facility (lumber 9-1848 C —5-2 Chevron Contact (Name)BRETT HUNTER <br /> Chevron Pradllcls Co, <br /> Facility Address . 5-7 Yosemite W.-, Manteca (Phone)(925) 842-8695 <br /> PD. BOX 6004 CcnauS Zy�/'llant Project Number Ioboralary Flame—SEQUOIA <br /> Coneultanl llama. BLAINE TECH SERVICES, _INC. Laboratory Sennas Order .914448 <br /> Soil Ramon, CA 945$ 1680 ROGERS AVE SAN JOSE <br /> dddrase Iaborala Service Code 202800 <br /> FAK (925)84 2-8370 ry ,.__.._.._ <br /> Project Contact (llama) CHRISTINE LILLIE Samples Callaclad b (llama) / <br /> (Phone) 408--573--0555 (Fax tlumber) 408--573-7775 Signature <br /> State Method. ❑ CA ❑ OR ❑ WA NW Series ❑ CO ❑ UT Remarks <br /> zN u <br /> dL) Y , <br /> _ lab Sample Ito <br /> F <br /> quLhed By (Signet Organlzotlan Nate/Time Ae Ived fly (SIH a1Gra Organization Dola/ftmy,26 load Y/It Turn !bound llme (Circle Choice) <br /> 24 tire <br /> 11 By (Sfg re) Orgonlzotlon pal /Time Recelved fly (Slgnalura) Organization Bala/flme load Y/11 48 lire <br /> 5 Nays <br /> 10 nays <br /> a <br /> By (Signature) Organization Data/Jima flecleveJ�Fyo�r, 'aboralory By (Slgnalura) Nate/Time 106l As Catalraciad J[{ <br />