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❑ Yes <br /> Fax copy of Lab Re ort and CCC to Chevron Contact: ❑ No Chain—of—•(; 5 0 — 9Gorc <br /> ANNEEPNewphim 9-6171 4— Chevron Contact (Nome)BRETT HUNTER <br /> Chevron (•ncttlly Number (g25) 842—$695 <br /> Focully Ad real_ 66,3}3 Pacific -Ave. , Stor_ktan- (phone) <br /> Chevron FrodNcle Co, Consultant project Number— I U 2 Laboratory Nome SEQUOIA <br /> P.O. 13OX 6004 BLAINE TECH SERVICES, INC. L <br /> Service Order 9144488 <br /> San Damon, CA 94583 Consultant Home BLAINE Laboratory <br /> Address 1680 ROGERS AVE. , SAID JOSE Laboratory Service Code 2 <br /> FAX (925)842-8370 CHRISTINE LILLTE <br /> Project Contact (Name) Samples Collected by, Namn} tv <br /> (phane) <br /> 408--573-0555 Fax Humber) 408-573-7771 5lgnnturs 2 _w— <br /> State Method; ❑ CA ❑ OR ❑ WA ❑ NW Series ❑ CO 11 UT Remarks <br /> z - <br /> <n ++ 43 <br /> 10 <br /> to Lab Sample Ila <br /> In13 <br /> 4a l vl <br /> how-L 3 <br /> vow-< 3 15 - <br /> [���W'� <br /> By (Signature) Organization Qate/Tlme Rae Ived By nature) Organlrotlon Qale/Tlme / load Y/N Turn Around Time (Circle Choice) <br /> ��— <br /> U L Ctrl U(i UD 2� tire <br /> �51q rr ) Organization Onte/Time Received By (Signature) Organlralion ate/Tlme toed Y/H <br /> 48 lira 1 <br /> a Days <br /> 10 Days <br /> UTO) Organization Qola/Tlme Recleved F L rotary By (Signature) Qs)t ilm load Y/N <br /> As Contracted <br /> to l / "Ph�/� ��' 1" Z"1 �f <br />