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1—_I1 C� <br /> Fax c of Lab Report and COC to Chevron C act: D No Chaff --0 '-'CU5 —Mw eC <br /> Chevron Facility flumberQ-4,940 _ Chevron Contact (Name)BRETT HUNTER <br /> Facllll Address--.-4344 Waterloo Rd, 4 Stockton (Phone) -- <br /> P.O. <br /> Chevron PI•nducts Co, y � -•• -•• (925) 842-•8695 <br /> Consultant Project Number_- 4MOT�d — 6,� SEQUOIA _ <br /> BOX 6004 laboratory flame _. _ <br /> Consultant Name BLAINS TECH SERVICES INC. Laboratory •• •- `••' <br /> San Ramon, CA 94583 1680 ROGERS AVE. , SAN JOSE ry Service order <br /> FAX (925)842-8370 Address Laboratory Service Cada ZZ02800 <br /> Project Contael (flame) CHRISTINE LILLIE Samples Collected by (Nome <br /> 408-573-0555 408-573-7771 ) <br /> (Phone) (Fox Ilumber) Signature <br /> State Method; ❑ CA ❑ OR ❑ WA ❑ NW Serles ❑ CO ❑ UT Remallre <br /> aU 8M n - 't <br /> N <br /> ++ 03e a <br /> Lob Sample Flo <br /> :2—!t <br /> cc <br /> U <br /> Relln f y (SI Organization Date/Time Received By (Si are) Organlzollon Dala/'tlms W J/ Iced Y/N Turn Around Time (Circle Choice) <br /> [S <br /> l 24 lir. <br /> ellnq ed By (51g urs) Organization Date/time Received Ignoture) Organkzallon Dale/Tlrrra12'� Iced Y/t4 48 WE <br /> 5 Days <br /> Ralnqulehed ey (Signalure) Organization Dake/tlme Recleved Fa ab alory H Signature) a/ iced Y ll 10 Days <br /> u / <br /> As Contracted <br />