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rJ r G 0 <br /> Fax c of Lab Report and COC to Chevron C ct, ❑ No Chql —0 —'CuS — 8C01"I <br /> Chavran Facility Number Chevron Conlact (Name)BRETT HUNTER <br /> 1al Prorcs Co. Facility Addreae 575 Gnt Line Rd, ,_Tcy (Phone) <br /> (425) 842-8645 <br /> 3U, BOXs0oq Laboratory llama SEQUOIA <br /> canaultant llama BLAINE TECH SERV_ ICES, INC. <br /> Son Ramon, GA 94583 1b80 ROGERS AVE � Laboratory service Order 911�l,l,Rg __ <br /> FAX (925)842-8370 AVE. , SAN JOSE Addreee taboratary Service Code ZZ02800 <br /> Pro)act Canlaci (llama) CHRISTINE LILLIE Samples C c <br /> (Phone) 408--573-0555 408-573-7771. <br /> (Fax Numbar) Slgnaturs <br /> State Method, ❑ CA ❑ 0R ❑ WA ❑ NW Serles ❑ CO ❑ UT Remarks <br /> �Iu .rr a <br /> 3 ya� ¢* u, � YQ A �7pp^ ISS <br /> W^� (30 11 zo <br /> Y + _ Lab Sample Na <br /> mw-4- W47 � - <br /> 12t 7' <br /> a�w- �z.30 X <br /> Vf w - <br /> la:4U <br /> L <br /> cJ <br /> Y � <br /> rnflat qer{a Ignolura) Organlzatlan DatefTlma jarol�,, /B, (Sign ey ,7 Organl:allon D Ime Iced Y N <br /> / Turn Around Time (Circle Choice) <br /> ` 24 lira <br /> O <br /> Rail u! ed Ignalura Orgaallan Date/Tlme Recelve (5I at <br /> R nh <br /> / Organizallan Dole/+ m ZZ load YIN 48 lira <br /> A Day""' GI 5 Do <br /> I <br /> Relinquished Ry (Slgnalrlre) Organl:ailan Dale/time Recleved For aboral By (Slgnalure) Date/Ilme Iced Y/I{ IO Days <br /> As Contracted <br />